Provider Demographics
NPI:1891318937
Name:ELKIN, PAULA (LPC)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:ELKIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 COLTAN AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-4575
Mailing Address - Country:US
Mailing Address - Phone:417-291-3567
Mailing Address - Fax:
Practice Address - Street 1:217 COLTAN AVE APT 101
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-4575
Practice Address - Country:US
Practice Address - Phone:417-291-3567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-23
Last Update Date:2020-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008669101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional