Provider Demographics
NPI:1760690853
Name:HANCOCK, PAMELA KAYE (LPC)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:KAYE
Last Name:HANCOCK
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 1:4663 LA CROIX RD
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76208-3007
Mailing Address - Country:US
Mailing Address - Phone:940-383-4673
Mailing Address - Fax:940-383-4673
Practice Address - Street 1:207 W HICKORY ST
Practice Address - Street 2:SUITE 301
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4156
Practice Address - Country:US
Practice Address - Phone:940-484-7799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11958101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional