Provider Demographics
NPI:1558579573
Name:RUEHLING, PAULA RENEE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:RENEE
Last Name:RUEHLING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:R
Other - Last Name:TYRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:1319 S ROGERS ST
Mailing Address - Street 2:
Mailing Address - City:POOLER
Mailing Address - State:GA
Mailing Address - Zip Code:31322-3325
Mailing Address - Country:US
Mailing Address - Phone:912-661-1944
Mailing Address - Fax:
Practice Address - Street 1:340 EISENHOWER DR
Practice Address - Street 2:SUITE 1470
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-1600
Practice Address - Country:US
Practice Address - Phone:912-661-1944
Practice Address - Fax:912-351-0690
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC0002532101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional