Provider Demographics
NPI:1679266365
Name:PARAGON MENTAL HEALTH COUNSELING, LLC
Entity Type:Organization
Organization Name:PARAGON MENTAL HEALTH COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:SMOLENSKI
Authorized Official - Suffix:JR
Authorized Official - Credentials:LMHC
Authorized Official - Phone:508-565-8353
Mailing Address - Street 1:80 UNION ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:MA
Mailing Address - Zip Code:02370-1920
Mailing Address - Country:US
Mailing Address - Phone:508-565-8358
Mailing Address - Fax:
Practice Address - Street 1:80 UNION ST UNIT 1
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:MA
Practice Address - Zip Code:02370-1920
Practice Address - Country:US
Practice Address - Phone:508-565-8358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty