MEDICARE: PAMELA S ZIRKLE LMHC

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	101YM0800X	Mental Health Counselor	39003820A	IN

General Provider Information

NPI Number	:	1447743794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA S ZIRKLE LMHC

Provider Business Mailing Address
First Line	:	8205 E 56TH ST STE 200
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46216-1069
Country	:	US
Telephone Number	:	317-554-4220
Fax Number	:

Provider Business Practice Location Address
First Line	:	8205 E 56TH ST STE 200
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46216-1069
Country	:	US
Telephone Number	:	317-554-4220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2018
Last Update Date	:	04/28/2023

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Directions to “ PAMELA S ZIRKLE LMHC” Practice Location

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