Provider Demographics
NPI:1114110459
Name:PAMELA E. MONK, PH.D., P.L.L.C.
Entity Type:Organization
Organization Name:PAMELA E. MONK, PH.D., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:E
Authorized Official - Last Name:MONK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC-S
Authorized Official - Phone:409-547-2527
Mailing Address - Street 1:1183 COUNTY ROAD 1520
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:TX
Mailing Address - Zip Code:77664-6479
Mailing Address - Country:US
Mailing Address - Phone:409-547-2527
Mailing Address - Fax:
Practice Address - Street 1:3050 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1801
Practice Address - Country:US
Practice Address - Phone:409-839-5673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13,515251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health