Provider Demographics
NPI:1942876388
Name:PAULEY, PAULA L (MS, PLPC)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:L
Last Name:PAULEY
Suffix:
Gender:F
Credentials:MS, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 LEVI RD
Mailing Address - Street 2:
Mailing Address - City:FARMERVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71241-6906
Mailing Address - Country:US
Mailing Address - Phone:318-609-6929
Mailing Address - Fax:
Practice Address - Street 1:188 LEVI RD
Practice Address - Street 2:
Practice Address - City:FARMERVILLE
Practice Address - State:LA
Practice Address - Zip Code:71241-6906
Practice Address - Country:US
Practice Address - Phone:318-608-6929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5993101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health