Provider Demographics
NPI:1295912905
Name:COURTNEY, PAULA M (LMHC)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:M
Last Name:COURTNEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:M
Other - Last Name:PIERCE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:240 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:MA
Mailing Address - Zip Code:01562-1766
Mailing Address - Country:US
Mailing Address - Phone:508-885-7685
Mailing Address - Fax:508-885-7685
Practice Address - Street 1:240 MAIN ST
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:MA
Practice Address - Zip Code:01562-1766
Practice Address - Country:US
Practice Address - Phone:508-885-7685
Practice Address - Fax:508-885-7685
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1306421Medicaid
MA1308785Medicaid
MAM18684OtherBCBS MH
2220002001OtherBCBS SA
MA1308785Medicaid