Provider Demographics
NPI:1871095463
Name:PAVEL, JOANNA NOELLE (LPC)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:NOELLE
Last Name:PAVEL
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 1:3345 BYRD ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-4147
Mailing Address - Country:US
Mailing Address - Phone:313-559-3088
Mailing Address - Fax:
Practice Address - Street 1:3345 BYRD ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-4147
Practice Address - Country:US
Practice Address - Phone:313-559-3088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-28
Last Update Date:2025-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401016067101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health