| Paradigm Senior Services, Llc | |
|
248 E Capitol St 840 Trust Mark Building Jackson MS 39201-2503 | |
| (800) 632-6074 | |
| (866) 341-7509 |
| Full Name | Paradigm Senior Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 248 E Capitol St, Jackson, Mississippi |
| Authorized Official Name and Position | Kevin D Harwood (PRESIDENT/CEO) |
| Authorized Official Contact | 8006326074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradigm Senior Services, Llc 7431 114th Ave Suite 104 Largo FL 33773-5119 Ph: (800) 632-6074 | Paradigm Senior Services, Llc 248 E Capitol St 840 Trust Mark Building Jackson MS 39201-2503 Ph: (800) 632-6074 |
| NPI Number | 1407806615 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407806615 | NPI | - | NPPES |
| 05970082 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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