MEDICARE: PAMELA LYNN GLOVSKY LCPC

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	101YP2500X	Professional Counselor	CP0083	NV

General Provider Information

NPI Number	:	1952537144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA LYNN GLOVSKY LCPC

Provider Business Mailing Address
First Line	:	2055 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2257
Country	:	US
Telephone Number	:	702-423-2625
Fax Number	:	702-749-6876

Provider Business Practice Location Address
First Line	:	2055 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2257
Country	:	US
Telephone Number	:	702-423-2625
Fax Number	:	702-658-2501

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

Provider Enumeration Date	:	06/02/2009
Last Update Date	:	12/16/2021

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