Healthcare Provider Details

I. General information

NPI: 1841474533
Provider Name (Legal Business Name): PAMELA MCGARRY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2007
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 31
ELLICOTTVILLE NY
14731-0031
US

IV. Provider business mailing address

315 2ND AVE STE 403
WARREN PA
16365-2419
US

V. Phone/Fax

Practice location:
  • Phone: 814-728-6074
  • Fax: 814-217-1540
Mailing address:
  • Phone: 814-728-6074
  • Fax: 814-217-1540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number003214
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: