DR PAM RUSSELL SERVICES NPI 1295353951

NPI Information

  • NPI: 1295353951
  • Provider Name: DR PAM RUSSELL SERVICES
  • Classification: Counselor - 101YP1600X
  • Specialization: Pastoral
  • Entity Type: Organization
  • Former Legal Business Name: DR. PAM RUSSELL, LLC.
  • Address: 752 BLANDING BLVD STE 131
    ORANGE PARK, FL
    ZIP 32065
  • Phone: (904) 830-0737

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NPI Details

DR PAM RUSSELL SERVICES is a pastoral counselor in Orange Park, FL. DR PAM RUSSELL SERVICES NPI is 1295353951. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Dr. Pam Russell, Llc..

The provider's business location address is:

752 BLANDING BLVD STE 131
ORANGE PARK, FL
ZIP 32065-796
Phone: (904) 830-0737

The provider's authorized official is Pamela Russell Russell .
The authorized official title is Ceo and has the following contact phone number (904) 830-0737.

The enumeration date for this NPI number is 7/9/2020 and was last updated on 8/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP1600XCounselorPastoralYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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