Provider Demographics
NPI:1770775355
Name:YANCEY, PAMELA K (LPC)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:K
Last Name:YANCEY
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 1:1116 23RD ST S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-2410
Mailing Address - Country:US
Mailing Address - Phone:205-933-5422
Mailing Address - Fax:205-933-6013
Practice Address - Street 1:1116 23RD ST S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-2410
Practice Address - Country:US
Practice Address - Phone:205-933-5422
Practice Address - Fax:205-933-6013
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-16
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2121101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health