Provider Demographics
NPI:1417027046
Name:NEVES, PAMELA C (LPC)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:C
Last Name:NEVES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6006
Mailing Address - Street 2:
Mailing Address - City:OCEAN ISLE BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28469-0006
Mailing Address - Country:US
Mailing Address - Phone:910-512-0524
Mailing Address - Fax:910-575-0131
Practice Address - Street 1:OLD GEORGETOWN CENTRE HWY 179
Practice Address - Street 2:SUITE 9
Practice Address - City:CALABASH
Practice Address - State:NC
Practice Address - Zip Code:28467
Practice Address - Country:US
Practice Address - Phone:910-512-0524
Practice Address - Fax:910-575-0131
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3652101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103310Medicaid