Doctor Name: | MRS. PAMELA DENISE POTEAT |
NPI Number: | 1205226313 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 333 Fann Rd Nolensville, TN - 37135 |
Business Phone Number: | 6152833050 |
Business Fax Number: | |
Mailing Address: | 333 Fann Rd, NOLENSVILLE |
State: | TN |
Postal Code: | 37135 |
Phone Number: | 6152833050 |
Fax Number: | |
NPI Enumeration Date: | 01/27/2015 |
NPI Last Update Date: | 01/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |