Provider Demographics
NPI:1164739249
Name:PARADISE IN HEAVEN THERAPY
Entity Type:Organization
Organization Name:PARADISE IN HEAVEN THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAPIRAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-333-6558
Mailing Address - Street 1:5050 NW 74TH AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5504
Mailing Address - Country:US
Mailing Address - Phone:305-592-0025
Mailing Address - Fax:305-592-0059
Practice Address - Street 1:5050 NW 74TH AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-5504
Practice Address - Country:US
Practice Address - Phone:305-592-0025
Practice Address - Fax:305-592-0059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management