Provider Demographics
NPI:1356733810
Name:SPLAIN, PAMELA RITCHIE (MS, LCMHC)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:RITCHIE
Last Name:SPLAIN
Suffix:
Gender:F
Credentials:MS, LCMHC
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:PAIGE
Other - Last Name:RITCHIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, NCC, LPCA
Mailing Address - Street 1:120 WOODBURN DR
Mailing Address - Street 2:
Mailing Address - City:SWANNANOA
Mailing Address - State:NC
Mailing Address - Zip Code:28778-2250
Mailing Address - Country:US
Mailing Address - Phone:828-773-9121
Mailing Address - Fax:
Practice Address - Street 1:120 WOODBURN DR
Practice Address - Street 2:
Practice Address - City:SWANNANOA
Practice Address - State:NC
Practice Address - Zip Code:28778-2250
Practice Address - Country:US
Practice Address - Phone:828-773-9121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-20
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10947101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional