Provider Demographics
NPI:1417222522
Name:PARALLEL BEHAVIOR SERVICES
Entity Type:Organization
Organization Name:PARALLEL BEHAVIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:SANKOFA
Authorized Official - Suffix:SR
Authorized Official - Credentials:MSW
Authorized Official - Phone:757-380-0385
Mailing Address - Street 1:6022 JEFFERSON AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23605-3000
Mailing Address - Country:US
Mailing Address - Phone:757-380-0385
Mailing Address - Fax:757-337-2919
Practice Address - Street 1:6022 JEFFERSON AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23605-3000
Practice Address - Country:US
Practice Address - Phone:757-380-0385
Practice Address - Fax:757-337-2919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty