Provider Demographics
NPI:1750307377
Name:PALADIN CMHC, LLC
Entity Type:Organization
Organization Name:PALADIN CMHC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:E
Authorized Official - Last Name:MEIKEL
Authorized Official - Suffix:JR
Authorized Official - Credentials:MBA
Authorized Official - Phone:859-321-9747
Mailing Address - Street 1:7901 CAMERON RD
Mailing Address - Street 2:BLDG 2 STE 100
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-3802
Mailing Address - Country:US
Mailing Address - Phone:512-835-0500
Mailing Address - Fax:512-835-0502
Practice Address - Street 1:7901 CAMERON RD
Practice Address - Street 2:BLDG 2 STE 100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-3802
Practice Address - Country:US
Practice Address - Phone:512-835-0500
Practice Address - Fax:512-835-0502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty