Provider Demographics
NPI:1598754038
Name:HILL, PAMELA ANNE (LPC BC ATR)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:ANNE
Last Name:HILL
Suffix:
Gender:F
Credentials:LPC BC ATR
Other - Prefix:MS
Other - First Name:PAMELA
Other - Middle Name:ANNE
Other - Last Name:MCARDLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 35395
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-0395
Mailing Address - Country:US
Mailing Address - Phone:804-378-3364
Mailing Address - Fax:804-378-2078
Practice Address - Street 1:1901 HUGUENOT RD
Practice Address - Street 2:STE 201
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-4311
Practice Address - Country:US
Practice Address - Phone:804-378-3364
Practice Address - Fax:804-378-2078
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2008-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA268095000OtherMAGELLAN BEHAVIORAL HEALTH
VA242632OtherMHN
VA219311OtherBCBS
VA005411661Medicaid
VA416716OtherVALUEOPTIONS
VA010048931Medicaid
VAO89209OtherOPTIMA
VA219313OtherBCBS