Provider Demographics
NPI:1285049957
Name:LEPLEY, PAUL ANDREW (MA)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:ANDREW
Last Name:LEPLEY
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 W WILLOUGHBY RD
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-6563
Mailing Address - Country:US
Mailing Address - Phone:989-448-1125
Mailing Address - Fax:
Practice Address - Street 1:835 W GENESEE ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48915-1840
Practice Address - Country:US
Practice Address - Phone:989-448-1125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-21
Last Update Date:2014-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIC-02698101YA0400X
MI6401012405101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)