Provider Demographics
NPI:1922877703
Name:PARADOX SOLUTIONS LLC
Entity Type:Organization
Organization Name:PARADOX SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEEL
Authorized Official - Suffix:
Authorized Official - Credentials:LPCA
Authorized Official - Phone:458-600-6322
Mailing Address - Street 1:61280 BRONZE MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-3088
Mailing Address - Country:US
Mailing Address - Phone:458-600-6322
Mailing Address - Fax:
Practice Address - Street 1:695 SW MILL VIEW WAY
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1557
Practice Address - Country:US
Practice Address - Phone:458-600-6322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty