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Organization
PAMELA SEGURA MENTAL HEALTH COUNSELING SERVICES, LLC
Active
Organization
PAMELA SEGURA MENTAL HEALTH COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA SEGURA LMHC (PRESIDENT)
(407) 914-8373
Entity
Organization
Contact information
Practice address
792 E MONTROSE ST, CLERMONT, FL 34711-2644
(407) 914-8373
(352) 646-7144
Mailing address
PO BOX 579, COLORADO CITY, TX 79512-0579
(407) 914-8373
(352) 646-7144
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/23/2021
Last updated
01/23/2021
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