| Organization Name: | PAMELA F. ELGIN LPC LLC |
| NPI Number: | 1427185982 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAMELA FRANKLIN ELGIN (LICENSED PROFESSIONAL COUNSELOR) |
| Mailing Address: | 216 Green Bay Rd Suite 204 Thiensville |
| State: | WI US |
| Postal Code: | 530921658 |
| Phone Number: | 4145500659 |
| Fax Number: | 2622360288 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 189-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |