Provider Demographics
NPI:1285705459
Name:FLEMING, PAULA A (LPC, LPCS, LCAS, CCS)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:A
Last Name:FLEMING
Suffix:
Gender:F
Credentials:LPC, LPCS, LCAS, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 VAIL RD
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27863-9446
Mailing Address - Country:US
Mailing Address - Phone:919-656-1163
Mailing Address - Fax:919-635-3388
Practice Address - Street 1:110 SW CENTER ST
Practice Address - Street 2:
Practice Address - City:MOUNT OLIVE
Practice Address - State:NC
Practice Address - Zip Code:28365
Practice Address - Country:US
Practice Address - Phone:919-635-3344
Practice Address - Fax:919-635-3388
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1050101YA0400X
SC6530101YP2500X
NC4500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNPB531Medicaid
SCPC1266Medicaid
SC161BHSMedicaid
SCGP7295Medicaid
NC3410166Medicaid
NC6102664Medicaid