Pams Place Counseling Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401007590 Issued in MI

Legal business name

PAMS PLACE COUNSELING CENTER

Practice address

2441 W Grand Blvd Ste 202
Detroit, MI 48208-1229

Phone

(313) 894-8088

Fax

(313) 894-8888

NPI assigned

Jul 17, 2018

Organization subpart

No

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

Authorized official

Name

Mr. James T Edgar Jr., LLPC

Title

Executive Director

Phone

(313) 894-8088

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1962988576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 W GRAND BLVD STE 202",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081229",
            "telephone_number": "313-894-8088",
            "fax_number": "313-894-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 W GRAND BLVD STE 202",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081229",
            "telephone_number": "313-894-8088",
            "fax_number": "313-894-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMS PLACE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "EDGAR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-894-8088",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LLPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007590",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Santosh N Pandya, PHARMACIST

• Professional Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.