Provider Demographics
NPI:1457954414
Name:SOLLENBERGER, PAMELA LEANORA (MS, GC-C, CTP)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:LEANORA
Last Name:SOLLENBERGER
Suffix:
Gender:F
Credentials:MS, GC-C, CTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:THE TAPESTRY OF HEALING BEREAVEMENT SERVICES, LLC
Mailing Address - Street 2:127 WATER STREET
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-0111
Mailing Address - Country:US
Mailing Address - Phone:603-494-4175
Mailing Address - Fax:
Practice Address - Street 1:THE TAPESTRY OF HEALING BEREAVEMENT SERVICES, LLC
Practice Address - Street 2:127 WATER STREET
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833
Practice Address - Country:US
Practice Address - Phone:603-494-4175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor