Provider Demographics
NPI:1811016595
Name:SEYMOUR, PAMELA MECCA (LPC)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:MECCA
Last Name:SEYMOUR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:120 STREAMVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-5834
Mailing Address - Country:US
Mailing Address - Phone:919-637-5778
Mailing Address - Fax:919-362-5896
Practice Address - Street 1:5815 FALLS OF NEUSE RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4043
Practice Address - Country:US
Practice Address - Phone:919-865-5754
Practice Address - Fax:919-865-5751
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6510101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool