Provider Demographics
NPI:1245766930
Name:PARAKLESIS INC.
Entity Type:Organization
Organization Name:PARAKLESIS INC.
Other - Org Name:FOREST LAKES COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:KASCHEL
Authorized Official - Suffix:JR
Authorized Official - Credentials:MA
Authorized Official - Phone:231-946-4440
Mailing Address - Street 1:802 S GARFIELD AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-3487
Mailing Address - Country:US
Mailing Address - Phone:231-946-4440
Mailing Address - Fax:231-221-0117
Practice Address - Street 1:802 S GARFIELD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-3487
Practice Address - Country:US
Practice Address - Phone:231-946-4440
Practice Address - Fax:231-221-0117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health