Doctor Name: | MS. PAMELA JEWELL GIVANS |
NPI Number: | 1487901187 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 525 Nw Lake Whitney Pl Ste 102 Port St Lucie, FL - 349861605 |
Business Phone Number: | 7723378164 |
Business Fax Number: | 7723378165 |
Mailing Address: | 1462 Se North Balcourt Ct, PORT ST LUCIE |
State: | FL |
Postal Code: | 349527810 |
Phone Number: | 7723424909 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2012 |
NPI Last Update Date: | 08/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |