1326263906 NPI number — MS. PAMELA MARIE SETTER LCSW

Table of content: MS. PAMELA MARIE SETTER LCSW (NPI 1326263906)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326263906 NPI number — MS. PAMELA MARIE SETTER LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SETTER
Provider First Name:
PAMELA
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BEER
Provider Other First Name:
PAMELA
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1326263906
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/10/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2200 HAWAII RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUMBOLDT
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66748
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
620-473-2694
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
629 S PLUMMER
Provider Second Line Business Practice Location Address:
NEW HORISONS COUNSELING
Provider Business Practice Location Address City Name:
CHANUTE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
620-432-5435
Provider Business Practice Location Address Fax Number:
620-432-5501
Provider Enumeration Date:
04/17/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  1047 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)