Provider Demographics
NPI:1184291684
Name:WINFIELD, PAMELA LORRAINE (LPC)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:LORRAINE
Last Name:WINFIELD
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 1:25904 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NORTH DINWIDDIE
Mailing Address - State:VA
Mailing Address - Zip Code:23803-7760
Mailing Address - Country:US
Mailing Address - Phone:804-479-9868
Mailing Address - Fax:804-722-5428
Practice Address - Street 1:315 BROWN ST
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23803-4232
Practice Address - Country:US
Practice Address - Phone:804-203-4477
Practice Address - Fax:804-805-2152
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional