Healthcare Provider Details

I. General information

NPI: 1649595992
Provider Name (Legal Business Name): PAMELA MICHAELS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PAMELA GRIFFEY

II. Dates (important events)

Enumeration Date: 03/30/2010
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 BILL MAYS RD
LONDON KY
40744-8160
US

IV. Provider business mailing address

235 BILL MAYS RD
LONDON KY
40744-8160
US

V. Phone/Fax

Practice location:
  • Phone: 859-455-6641
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number270018
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: