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NPI 1497569719

NPI 1497569719 : PAULA STOTT LLPC : LANSING, MI

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General NPI Number Information
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    NPI Number           |    1497569719
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    Entity Type          |    Individual 
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    Provider Name        |    PAULA STOTT LLPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/05/2025
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    Last Update Date     |    02/05/2025
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Provider Practice Location Address
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    Address Line         |    118 W LENAWEE ST 
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    City                 |    LANSING
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    State                |    MI
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    Zip                  |    48933-2120
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    Country              |    US
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    Telephone            |    517-712-6039
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5510 CLARK RD 
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    City                 |    BATH
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    State                |    MI
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    Zip                  |    48808-8729
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    Country              |    US
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    Telephone            |    517-712-6039
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    6451024082
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    License Number State |    MI
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