MEDICARE: PAM HYLES LMSW, PLLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1275226052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAM HYLES LMSW, PLLC

Provider Business Mailing Address
First Line	:	3701 BEECHER RD
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48503-4974
Country	:	US
Telephone Number	:	248-390-9693
Fax Number	:

Provider Business Practice Location Address
First Line	:	3701 BEECHER RD
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48503-4974
Country	:	US
Telephone Number	:	248-390-9693
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	PAMELA HYLES
Credential	:	LMSW
Telephone Number	:	248-390-9693

Provider Enumeration Date	:	05/30/2023
Last Update Date	:	05/30/2023

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