Provider Demographics
NPI:1962183145
Name:DE PAULA, CLAUDIA LEITE (LMHC)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:LEITE
Last Name:DE PAULA
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 1:260 FAIRWEATHER LN
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33931-3227
Mailing Address - Country:US
Mailing Address - Phone:585-490-8193
Mailing Address - Fax:
Practice Address - Street 1:260 FAIRWEATHER LN
Practice Address - Street 2:
Practice Address - City:FORT MYERS BEACH
Practice Address - State:FL
Practice Address - Zip Code:33931-3227
Practice Address - Country:US
Practice Address - Phone:585-490-8193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011768101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health