Provider Demographics
NPI:1730655390
Name:CATRINA PAULEY, LMHC
Entity Type:Organization
Organization Name:CATRINA PAULEY, LMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:321-252-8141
Mailing Address - Street 1:317 RIVEREDGE BLVD.
Mailing Address - Street 2:SUITE 104
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32922-7985
Mailing Address - Country:US
Mailing Address - Phone:321-252-8141
Mailing Address - Fax:321-362-7463
Practice Address - Street 1:317 RIVEREDGE BLVD.
Practice Address - Street 2:SUITE 104
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32922-7985
Practice Address - Country:US
Practice Address - Phone:321-252-8141
Practice Address - Fax:321-362-7463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty