Provider Demographics
NPI:1902783665
Name:MONTORE CONLEY, PAULA (LPC)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:MONTORE CONLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:
Other - Last Name:MONTORE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:2 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COOPERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18036-1526
Mailing Address - Country:US
Mailing Address - Phone:619-249-9067
Mailing Address - Fax:
Practice Address - Street 1:2 N MAIN ST
Practice Address - Street 2:
Practice Address - City:COOPERSBURG
Practice Address - State:PA
Practice Address - Zip Code:18036-1526
Practice Address - Country:US
Practice Address - Phone:619-249-9067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-16
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC018637101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional