Provider Demographics
NPI:1326015314
Name:BOONE, PAULA WOODS (LPC, LMFT)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:WOODS
Last Name:BOONE
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3240 W BRITTON RD STE 102
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-2040
Mailing Address - Country:US
Mailing Address - Phone:405-286-0077
Mailing Address - Fax:405-418-0177
Practice Address - Street 1:3240 W BRITTON RD STE 102
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-2040
Practice Address - Country:US
Practice Address - Phone:405-860-0772
Practice Address - Fax:405-418-0177
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK157106H00000X
OK863101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK271008OtherANHEUSER-BUSCH EAP