Provider Demographics
NPI:1952537144
Name:GLOVSKY, PAMELA LYNN (LCPC)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:LYNN
Last Name:GLOVSKY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:LYNN
Other - Last Name:VENNOCHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NCE
Mailing Address - Street 1:2055 W CHARLESTON BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2257
Mailing Address - Country:US
Mailing Address - Phone:702-423-2625
Mailing Address - Fax:702-749-6876
Practice Address - Street 1:2055 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2257
Practice Address - Country:US
Practice Address - Phone:702-423-2625
Practice Address - Fax:702-658-2501
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCP0083101YP2500X
NV238468101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty