Provider Demographics
NPI:1821221987
Name:PAMARTY, KRISHNA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:KRISHNA
Middle Name:
Last Name:PAMARTY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 E WATTLES RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-3689
Mailing Address - Country:US
Mailing Address - Phone:248-731-0053
Mailing Address - Fax:313-286-0890
Practice Address - Street 1:2951, W.GRAND BLVD.
Practice Address - Street 2:NEW CENTER COMMUNITY MENTAL HEALTH SERVICES
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48208
Practice Address - Country:US
Practice Address - Phone:313-961-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010876731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical