| Doctor Name: | PAULA SYKES |
| NPI Number: | 1154576908 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | |
| Business Practice Address: | 8401 Outer Rd Mountain Grove, MO - 657112516 |
| Business Phone Number: | 4179261500 |
| Business Fax Number: | 4179261538 |
| Mailing Address: | 8401 Outer Rd, MOUNTAIN GROVE |
| State: | MO |
| Postal Code: | 657112516 |
| Phone Number: | 4179261500 |
| Fax Number: | 4179261538 |
| NPI Enumeration Date: | 11/20/2008 |
| NPI Last Update Date: | 11/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |