Provider Demographics
NPI:1275226052
Name:PAM HYLES LMSW, PLLC
Entity Type:Organization
Organization Name:PAM HYLES LMSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:HYLES
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:248-390-9693
Mailing Address - Street 1:3701 BEECHER RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-4974
Mailing Address - Country:US
Mailing Address - Phone:248-390-9693
Mailing Address - Fax:
Practice Address - Street 1:3701 BEECHER RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-4974
Practice Address - Country:US
Practice Address - Phone:248-390-9693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty