Provider Demographics
NPI:1922509926
Name:LENARD, PAULA (LPC)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:LENARD
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 1:2235 BRIGADOON CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-5812
Mailing Address - Country:US
Mailing Address - Phone:817-449-9356
Mailing Address - Fax:
Practice Address - Street 1:2501 PARKVIEW DR STE 304
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-5815
Practice Address - Country:US
Practice Address - Phone:817-709-1067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-24
Last Update Date:2018-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75713101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional