Provider Demographics
NPI:1740635390
Name:PAMELA DILLON LCSW COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:PAMELA DILLON LCSW COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:812-887-2788
Mailing Address - Street 1:2801 HARTMETZ AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47712-5053
Mailing Address - Country:US
Mailing Address - Phone:812-887-2788
Mailing Address - Fax:
Practice Address - Street 1:734 W DELAWARE ST STE 264
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-1667
Practice Address - Country:US
Practice Address - Phone:812-887-2788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-02
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty