| Paradise Therapeutic Service Llc | |
|
1901 Airline Dr Ste B Metairie LA 70001-5936 | |
| (504) 656-6440 | |
| Not Available |
| Full Name | Paradise Therapeutic Service Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1901 Airline Dr Ste B, Metairie, Louisiana |
| Authorized Official Name and Position | Cherlyn Denise Cyres (PRESIDENT) |
| Authorized Official Contact | 2252795640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradise Therapeutic Service Llc 7640 Adventure Ave New Orleans LA 70129-2740 Ph: (504) 656-6440 | Paradise Therapeutic Service Llc 1901 Airline Dr Ste B Metairie LA 70001-5936 Ph: (504) 656-6440 |
| NPI Number | 1740947316 |
|---|---|
| Provider Enumeration Date | 11/18/2021 |
| Last Update Date | 11/19/2021 |
| Certification Date | 11/19/2021 |
| Medicare PECOS PAC ID | 8325432966 |
|---|---|
| Medicare Enrollment ID | O20220225000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740947316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cherlyn S Cyres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598026445 PECOS PAC ID: 9234523879 Enrollment ID: I20220225000183 |
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