PAMELA JANE MADSEN MS NPI 1760027932

NPI Information

NPI: 1760027932
Provider Name: PAMELA JANE MADSEN, MS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4411 SUWANEE DAM RD STE 450
SUWANEE, GA
ZIP 30024
Phone: (770) 609-3014
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Pamela Jane Madsen, MS is a mental health counselor in Suwanee, GA. Pamela Jane Madsen, MS NPI is 1760027932. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4411 SUWANEE DAM RD STE 450
SUWANEE, GA
ZIP 30024-706
Phone: (770) 609-3014

The enumeration date for this NPI number is 11/12/2019 and was last updated on 11/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	101YP2500X	Counselor	Professional	No
4	101YM0800X	Counselor	Mental Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	14562810	OTHER	GEORGIA	CAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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