Organization Name: | PAMELA GATES MA LPC, LCDC, INC |
NPI Number: | 1225243470 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAMELA H GATES (PRESIDENT) |
Mailing Address: | 2499 S Capital Of Texas Hwy Bldg. B, Suite 201 Austin |
State: | TX US |
Postal Code: | 787467762 |
Phone Number: | 5123282563 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 11/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6991 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |