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PAMELA Y. ODOM LPC NPI 1891814646


NPI Information

NPI: 1891814646
Provider Name: PAMELA Y. ODOM, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1790 N LEE TREVINO DR
SUITE 601 A
EL PASO, TX
ZIP 79936
Phone: (915) 778-4243
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Pamela Y. Odom, LPC is a professional counselor in El Paso, TX. Pamela Y. Odom, LPC NPI is 1891814646. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1790 N LEE TREVINO DR
SUITE 601 A
EL PASO, TX
ZIP 79936-545
Phone: (915) 778-4243
Fax: (915) 778-4244

The enumeration date for this NPI number is 3/29/2007 and was last updated on 4/11/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health0068462NEW MEXICONo
2171M00000XCase Manager/Care CoordinatorNo
3101YP2500XCounselorProfessional63937TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1211916601MEDICAIDTEXAS
215823881MEDICAIDNEW MEXICO

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: 11/14/2023

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