Provider Demographics
NPI:1841833571
Name:LETT, PAULA A (LPC)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:A
Last Name:LETT
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 1:265 HUNTER RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35128-7280
Mailing Address - Country:US
Mailing Address - Phone:205-616-0896
Mailing Address - Fax:
Practice Address - Street 1:3440 MARTIN ST S STE 17
Practice Address - Street 2:
Practice Address - City:CROPWELL
Practice Address - State:AL
Practice Address - Zip Code:35054-3850
Practice Address - Country:US
Practice Address - Phone:205-623-5130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-25
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3732101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty