Pamela Douglas

LBN: Pamela Douglas
Pamela Douglas is an health care organization with primary practice located at 6722 Patterson Ave Suite B, Richmond VA 23226-3400. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Pamela Douglas can be contacted via phone (804) 282-4000, or through Douglas, Pamela Kavanaugh via phone (804) 282-4000.

Contact Information

Primary practice address
6722 Patterson Ave Suite B Richmond VA 23226-3400
Phone: (804) 282-4000
Fax: (804) 282-7799
Website:
Map and Directions
Authorized official contact:
Name: Douglas, Pamela Kavanaugh
Phone: (804) 282-4000

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0015000655 Virginia

Profile Details

NPI number 1952582850
LBN Legal business name Pamela Douglas
DBA Doing business as
Authorized official Douglas, Pamela Kavanaugh
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2007
Last updated Nov 19th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952582850 NPPES
Virginia Other C09408 MEDICARE GROUP NUMBER

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