Gilley, Pamela Suzanne

Gilley, Pamela Suzanne is an sole proprietor health care provider with primary practice located at 340 Magnolia Cir Bldg 1465 , Tyndall Afb FL 32403-5604. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gilley, Pamela Suzanne can be contacted via phone (850) 283-7087.

Contact Information

Primary practice address
340 Magnolia Cir Bldg 1465 Tyndall Afb FL 32403-5604
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW20497 Florida

Profile Details

NPI number 1851001473
LBN Legal business name Gilley, Pamela Suzanne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2022
Last updated May 6th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851001473 NPPES
Florida Other SW20497 FLORIDA LICENSING

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