Healthcare Provider Details

I. General information

NPI: 1992878706
Provider Name (Legal Business Name): PAMELA D. HAY LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11827 OCEAN GATEWAY WACS CENTER
OCEAN CITY MD
21842
US

IV. Provider business mailing address

8332 TANHOUSE RD
SNOW HILL MD
21863-4202
US

V. Phone/Fax

Practice location:
  • Phone: 410-213-0202
  • Fax: 410-213-1408
Mailing address:
  • Phone: 410-251-0191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberSCO199
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC3240
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: