PAMELA E DETLEFSEN (NPI# 1245776632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245776632 |
| Entity Type | Individual |
| Full Name | PAMELA E DETLEFSEN |
| Credential | LMHC, CAP |
| Practice Address |
3199 Lake Worth Rd Ste A Palm Springs FL 33461-3652 |
| Mailing Address |
4740 N State Road 7 Ste 201 Lauderdale Lakes FL 33319-5839 |
| Practice Telephone | 5616496500 |
| Practice Fax Number | 9544973857 |
| Mailing Telephone | 9544864005 |
| Mailing Fax Number | 9544973857 |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH9215 | FL | Behavioral Health & Social Service Providers |
| Street Address |
3199 LAKE WORTH RD STE A |
| City | PALM SPRINGS |
| State | FL |
| Zip Code | 33461-3652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851942072 | Hope & Healing Community Counseling | Counselor | 3001 E Tahquitz Canyon Way Ste 200, Palm Springs, CA 92262-6901 | 2019-09-28 |
| 1780240978 | Aly Sue Vancil | Counselor | 19531 Mclane St Suite B, Palm Springs, CA 92262 | 2019-05-14 |
| 1861931354 | Judith Mondesir | Counselor | 3175 S Congress Ave Ste 306, Palm Springs, FL 33461-2562 | 2017-02-16 |
| 1538404355 | Katia M. Hildebert | Counselor | 2945 S Congress Ave Ste E, Palm Springs, FL 33461-2168 | 2012-12-05 |
| 1306194428 | Rovener Daniel | Counselor | 312 Alemeda Dr, Palm Springs, FL 33461 | 2012-08-21 |
| 1699034942 | Stanley Ray Armbruster | Counselor | 1111 E Tahquitz Canyon Way Ste 121, Palm Springs, CA 92262-0102 | 2012-05-07 |
| 1184942872 | Alton C. Carswell | Counselor | 2500 N Palm Canyon Dr Ste A4, Palm Springs, CA 92262-1866 | 2010-05-05 |
| 1528384096 | Dominick Conforti | Counselor | 2290 S Palm Canyon Dr, 116, Palm Springs, CA 92264-9344 | 2010-04-08 |
| 1285877860 | Rosa Imelda Espinoza | Counselor | 19531 Mclane Street, Palm Springs, CA 92262 | 2009-04-13 |
| 1427203447 | Marcia A. Goncalves-terlep | Counselor | 2324 S Congress Ave Ste 1f, Palm Springs, FL 33406-7667 | 2008-11-18 |
| Find all providers in PALM SPRINGS | ||||
| City | PALM SPRINGS |
| Zip Code | 33461 |
Please comment or provide details below to improve the information on PAMELA E DETLEFSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.