Provider Demographics
NPI:1477261758
Name:PARAGON HEALTHCARE AND WELLNESS PLUS, LLC
Entity Type:Organization
Organization Name:PARAGON HEALTHCARE AND WELLNESS PLUS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIUANA
Authorized Official - Middle Name:SHANTRICE
Authorized Official - Last Name:BRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP, DNP, APRN-C
Authorized Official - Phone:985-774-9097
Mailing Address - Street 1:753 ROBERT BLVD # 1029
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-1637
Mailing Address - Country:US
Mailing Address - Phone:985-336-4210
Mailing Address - Fax:985-243-9557
Practice Address - Street 1:753 ROBERT BLVD # 1029
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-1637
Practice Address - Country:US
Practice Address - Phone:985-336-4210
Practice Address - Fax:985-243-9557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)