Provider Demographics
NPI:1033603154
Name:RAO, PAULA MUKHERJEE (MA, NCC, LPC-INTERN)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:MUKHERJEE
Last Name:RAO
Suffix:
Gender:F
Credentials:MA, NCC, LPC-INTERN
Other - Prefix:MRS
Other - First Name:PAULA
Other - Middle Name:M
Other - Last Name:RAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:707 S FRY RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2256
Mailing Address - Country:US
Mailing Address - Phone:281-940-8515
Mailing Address - Fax:888-972-1582
Practice Address - Street 1:707 S FRY RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2256
Practice Address - Country:US
Practice Address - Phone:281-940-8515
Practice Address - Fax:888-972-1582
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79759101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health