Russell, Pamela Anne
Russell, Pamela Anne is an sole proprietor health care provider with primary practice located at 3435 Pine Mill Rd , Paris TX 75460-4938. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell, Pamela Anne can be contacted via phone (903) 785-7410.Contact Information
Primary practice address
3435 Pine Mill Rd
Paris TX 75460-4938
Phone: (903) 785-7410
Fax: (903) 785-7758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 00570 | Texas |
Profile Details
| NPI number | 1831193812 |
|---|---|
| LBN Legal business name | Russell, Pamela Anne |
| Credentials | LCSW, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Oct 6th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831193812 | NPPES |
| Texas | Other | 00S76J | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 108265302 | BLUE CROSS BLUE SHIELD |
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