Provider Demographics
NPI:1437516101
Name:PAULEY, PAIGE (LPCC)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:PAULEY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137B DECK DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-5664
Mailing Address - Country:US
Mailing Address - Phone:606-343-0203
Mailing Address - Fax:
Practice Address - Street 1:201 PROFESSIONAL PARK DR
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-3486
Practice Address - Country:US
Practice Address - Phone:270-392-3661
Practice Address - Fax:580-297-9310
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-26
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYLPCCCA00224175101Y00000X
KY244639101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor