Healthcare Provider Details

I. General information

NPI: 1528882396
Provider Name (Legal Business Name): PAMELA CATHERINE BYE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2024
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 N 2ND ST STE 601
PHOENIX AZ
85012-2395
US

IV. Provider business mailing address

3101 N CENTRAL AVE
PHOENIX AZ
85012-2645
US

V. Phone/Fax

Practice location:
  • Phone: 602-230-7373
  • Fax: 602-230-5150
Mailing address:
  • Phone: 602-230-7373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMSW-22197
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: