Provider Demographics
NPI:1598316408
Name:MCLAURIN, PAMELA LATRES (LCMHC-A)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:LATRES
Last Name:MCLAURIN
Suffix:
Gender:
Credentials:LCMHC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4344 S NC HIGHWAY 150 STE D
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27295-5376
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4344 S NC HIGHWAY 150 STE D
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27295-5376
Practice Address - Country:US
Practice Address - Phone:800-320-4157
Practice Address - Fax:336-553-9175
Is Sole Proprietor?:No
Enumeration Date:2019-09-23
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC25417OtherLICENSE