| Pamela Pierce Llc | |
|
6135 Brickhill Ct Crestview FL 32536-4395 | |
| (208) 914-8161 | |
| Not Available |
| Full Name | Pamela Pierce Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6135 Brickhill Ct, Crestview, Florida |
| Authorized Official Name and Position | Pamela Pierce (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2089148161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Pierce Llc 6135 Brickhill Ct Crestview FL 32536-4395 Ph: () - | Pamela Pierce Llc 6135 Brickhill Ct Crestview FL 32536-4395 Ph: (208) 914-8161 |
| NPI Number | 1588398911 |
|---|---|
| Provider Enumeration Date | 07/12/2022 |
| Last Update Date | 07/12/2022 |
| Certification Date | 07/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588398911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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