Provider Demographics
NPI:1750546677
Name:PAULEY, CATRINA CLORE (LMHC)
Entity type:Individual
Prefix:
First Name:CATRINA
Middle Name:CLORE
Last Name:PAULEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 RIVEREDGE BLVD.
Mailing Address - Street 2:SUITE 104
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32922-7985
Mailing Address - Country:US
Mailing Address - Phone:321-252-8141
Mailing Address - Fax:321-362-7463
Practice Address - Street 1:317 RIVEREDGE BLVD.
Practice Address - Street 2:SUITE 104
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32922-7985
Practice Address - Country:US
Practice Address - Phone:321-252-8141
Practice Address - Fax:321-362-7463
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9831101YM0800X
FLMH0009831101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health