Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Pamela Bouyer, LICDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1407384266

Miss. Pamela Bouyer, LICDC is a Mental Health Counselor in Cleveland, Ohio. Qualified in 2025, 1 year ago. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2017
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Practice location Address checks out

6209 Storer Ave
Cleveland, OH 44102-5522
Phone: (216) 651-1450
Fax: (216) 651-4351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 021225 (OH)

Record details

NPI number1407384266
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICDC
Sole proprietorNo
NPI enumeratedMay 24, 2017
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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