Provider Demographics
NPI:1417508672
Name:HARPER, PAULA MICHELE (LMHC)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:MICHELE
Last Name:HARPER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9392 SCARLETTE OAK AVE
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33967-5147
Mailing Address - Country:US
Mailing Address - Phone:239-738-5569
Mailing Address - Fax:
Practice Address - Street 1:9180 ESTERO PARK COMMONS BLVD STE 6
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-3218
Practice Address - Country:US
Practice Address - Phone:239-595-3022
Practice Address - Fax:239-244-8404
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9246115163W00000X
FLIMH14763101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No163W00000XNursing Service ProvidersRegistered Nurse