Provider Demographics
NPI:1437208154
Name:PARACLAYSIS
Entity Type:Organization
Organization Name:PARACLAYSIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, BOARD OF DIRECTORS
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:BIXLER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:719-210-9744
Mailing Address - Street 1:7025 COTTON DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-6389
Mailing Address - Country:US
Mailing Address - Phone:719-210-9744
Mailing Address - Fax:719-302-2356
Practice Address - Street 1:3110 BOYCHUCK AVE
Practice Address - Street 2:SUITE K
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-1026
Practice Address - Country:US
Practice Address - Phone:719-210-9744
Practice Address - Fax:719-302-2356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO675251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health