Provider Demographics
NPI:1740331297
Name:OGLETREE, PAMELA GRAY (LPC)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:GRAY
Last Name:OGLETREE
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 1:13527 VIA CHIANTI LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4746
Mailing Address - Country:US
Mailing Address - Phone:832-559-7537
Mailing Address - Fax:
Practice Address - Street 1:12000 WESTHEIMER RD STE 206
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6697
Practice Address - Country:US
Practice Address - Phone:281-558-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18544101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional