Healthcare Provider Details

I. General information

NPI: 1316226525
Provider Name (Legal Business Name): KATHY ANN PAULEY LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2011
Last Update Date: 08/18/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41130 CIRCLE D, TEMECULA CA 92892-8118
TEMECULA CA
92592-8118
US

IV. Provider business mailing address

41130 CIRCLE D
TEMECULA CA
92592-8118
US

V. Phone/Fax

Practice location:
  • Phone: 951-517-7760
  • Fax: 951-587-9504
Mailing address:
  • Phone: 951-517-7760
  • Fax: 951-587-9504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMFT47833
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC47833
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: