# PAULA S. GORDY LISW, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144821703
- **Authorized official:** PAULA SUE GORDY LISW (OWNER)
- **Authorized official phone:** (641) 856-2688

## Contact information

- **Practice address:** 501 N 12TH ST STE 1, CENTERVILLE, IA 52544-1439
- **Practice address phone:** (641) 856-2688
- **Practice address fax:** (641) 856-2690
- **Mailing address:** 501 N 12TH ST STE 1, CENTERVILLE, IA 52544-1439
- **Mailing address phone:** (641) 856-2688
- **Mailing address fax:** (641) 856-2690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2020
- **Last updated:** 11/02/2020