Pamlea Harris Wilder

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

004535 Issued in GA

Practice address

4858 Amstel PL
Flowery Branch, GA 30542-5749

Phone

(678) 617-7448

NPI assigned

Jun 3, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Pamela Wilder Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1962638015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4858 AMSTEL PL",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305425749",
            "telephone_number": "678-617-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4858 AMSTEL PL",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305425749",
            "telephone_number": "678-617-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "PAMLEA",
        "middle_name": "HARRIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "004535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "WILDER",
            "credential": "LPC, NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rhonda G Wetherbee
• Rachel Wheeler, OT
• Wheelie Good Wheelchairs LLC
• Tracy White
• Carla P. Whitlow, PA
• Jennifer E Williams, PT, DPT
• Willowwood Nursing Center Inc
• Willowwood Pac LLC
• Barbara Wilson, PH.D., LPC
• Christiane Wilson

• Professional Counselor in Flowery Branch, GA
• Providers in Flowery Branch, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.