Provider Demographics
NPI:1184857864
Name:SANABRIA, PAMELA ANN (MED, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:ANN
Last Name:SANABRIA
Suffix:
Gender:F
Credentials:MED, LPC, NCC
Other - Prefix:MS
Other - First Name:PAMELA
Other - Middle Name:ANN
Other - Last Name:KELAHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, LPC, NCC
Mailing Address - Street 1:619 S PALMETTO WAY
Mailing Address - Street 2:
Mailing Address - City:SURFSIDE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29575-3581
Mailing Address - Country:US
Mailing Address - Phone:843-685-3081
Mailing Address - Fax:
Practice Address - Street 1:671 JAMESTOWN DR
Practice Address - Street 2:SUITE 202-E
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-7507
Practice Address - Country:US
Practice Address - Phone:843-685-3081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5216101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional