PARADIGM SENIOR SERVICES LLC NPI 1407806615

NPI Information

NPI: 1407806615
Provider Name: PARADIGM SENIOR SERVICES, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
248 E CAPITOL ST
840 TRUST MARK BUILDING
JACKSON, MS
ZIP 39201
Phone: (800) 632-6074
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PARADIGM SENIOR SERVICES, LLC is a mental health counselor in Jackson, MS. PARADIGM SENIOR SERVICES, LLC NPI is 1407806615. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

248 E CAPITOL ST
840 TRUST MARK BUILDING
JACKSON, MS
ZIP 39201-503
Phone: (800) 632-6074
Fax: (866) 341-7509

The provider's authorized official is Kevin D Harwood .
The authorized official title is President/ceo and has the following contact phone number (800) 632-6074.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 5/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05970082	MEDICAID	MISSISSIPPI
2	C03480	MEDICARE PIN	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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