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NPI Code Detail

MEDICARE: MS. PAMELA HAYES MALKOFF MFT, ATR-BC, LPC,

MEDICARE:  MS. PAMELA HAYES MALKOFF  MFT, ATR-BC, LPC,
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
1106H00000XMarriage & Family TherapistMFC 46565CA
2101YP2500XProfessional Counselor00113RI
3101YP2500XProfessional CounselorTPMF286FL
4101YP2500XProfessional CounselorLPC013381GA

General Provider Information

NPI Number : 1699070474
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAMELA HAYES MALKOFF MFT, ATR-BC, LPC,
Provider Business Mailing Address
First Line : 6010 ESCHER LN SE
Second Line :
City : MABLETON
State : GA
Zip : 30126-5763
Country : US
Telephone Number : 818-836-1239
Fax Number :
Provider Business Practice Location Address
First Line : 3495 PIEDMONT RD NE STE 100
Second Line :
City : ATLANTA
State : GA
Zip : 30305-1717
Country : US
Telephone Number : 818-836-1239
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2011
Last Update Date : 06/13/2023

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Directions to “ MS. PAMELA HAYES MALKOFF MFT, ATR-BC, LPC,” Practice Location

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