Provider Demographics
NPI:1477980407
Name:PARENTS IN ACTION, INC.
Entity Type:Organization
Organization Name:PARENTS IN ACTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAMMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-625-1742
Mailing Address - Street 1:21450 GIBRALTER DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-5417
Mailing Address - Country:US
Mailing Address - Phone:941-625-1742
Mailing Address - Fax:888-900-6697
Practice Address - Street 1:21450 GIBRALTER DR
Practice Address - Street 2:SUITE 2
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-5417
Practice Address - Country:US
Practice Address - Phone:941-625-1742
Practice Address - Fax:888-900-6697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-04
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008997300Medicaid