Provider Demographics
NPI:1982266805
Name:LITCHFORD, PAMELA STEELE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:STEELE
Last Name:LITCHFORD
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 1:304 COLUMBIA CLUB DR E
Mailing Address - Street 2:
Mailing Address - City:BLYTHEWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29016-9481
Mailing Address - Country:US
Mailing Address - Phone:803-413-2662
Mailing Address - Fax:
Practice Address - Street 1:2917 MILLWOOD AVE STE B
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29205-1334
Practice Address - Country:US
Practice Address - Phone:803-413-2662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6955101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional