Provider Demographics
NPI:1598087264
Name:STROHMEYER, PAMELA KENNY (LPC)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:KENNY
Last Name:STROHMEYER
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 1:472 COUNTY ROAD 294
Mailing Address - Street 2:
Mailing Address - City:RIFLE
Mailing Address - State:CO
Mailing Address - Zip Code:81650-2156
Mailing Address - Country:US
Mailing Address - Phone:970-625-2822
Mailing Address - Fax:
Practice Address - Street 1:472 COUNTY ROAD 294
Practice Address - Street 2:
Practice Address - City:RIFLE
Practice Address - State:CO
Practice Address - Zip Code:81650-2156
Practice Address - Country:US
Practice Address - Phone:970-625-2822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1582101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO082238Medicaid