Provider Demographics
NPI:1164433389
Name:PAMELA L FOX LLC
Entity Type:Organization
Organization Name:PAMELA L FOX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP, RN
Authorized Official - Phone:402-420-6621
Mailing Address - Street 1:701 P ST
Mailing Address - Street 2:STE. 305
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-1356
Mailing Address - Country:US
Mailing Address - Phone:402-420-6621
Mailing Address - Fax:
Practice Address - Street 1:701 P ST
Practice Address - Street 2:STE. 305
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-1356
Practice Address - Country:US
Practice Address - Phone:402-420-6621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)