Provider Demographics
NPI:1801222153
Name:PAZ, IARA DE ASSIS OLIVEIRA (MS, NCC, LPCA)
Entity Type:Individual
Prefix:MRS
First Name:IARA
Middle Name:DE ASSIS OLIVEIRA
Last Name:PAZ
Suffix:
Gender:F
Credentials:MS, NCC, LPCA
Other - Prefix:
Other - First Name:IARA
Other - Middle Name:
Other - Last Name:CULPEPPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8825 FORESTER LANE
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27539
Mailing Address - Country:US
Mailing Address - Phone:919-602-2209
Mailing Address - Fax:
Practice Address - Street 1:8825 FORESTER LANE
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27539
Practice Address - Country:US
Practice Address - Phone:919-602-2209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9305101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health