Provider Demographics
NPI:1053005728
Name:PAULEY, NOEL (LPC)
Entity type:Individual
Prefix:
First Name:NOEL
Middle Name:
Last Name:PAULEY
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 1:254 GOOSEWAY RD
Mailing Address - Street 2:
Mailing Address - City:EASTANOLLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30538-9412
Mailing Address - Country:US
Mailing Address - Phone:678-428-9485
Mailing Address - Fax:
Practice Address - Street 1:254 GOOSEWAY RD
Practice Address - Street 2:
Practice Address - City:EASTANOLLEE
Practice Address - State:GA
Practice Address - Zip Code:30538-9412
Practice Address - Country:US
Practice Address - Phone:678-428-9485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC013459101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional