MEDICARE: MRS. PAMELA J PADGETT M.ED, LPC, RPT, RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	64493	TX

General Provider Information

NPI Number	:	1184920126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PAMELA J PADGETT M.ED, LPC, RPT, RN

Provider Business Mailing Address
First Line	:	11754 JOLLYVILLE RD STE 110
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-3948
Country	:	US
Telephone Number	:	512-331-2700
Fax Number	:

Provider Business Practice Location Address
First Line	:	11754 JOLLYVILLE RD STE 110
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-3948
Country	:	US
Telephone Number	:	512-331-2700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2011
Last Update Date	:	01/07/2026

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