Provider Demographics
NPI:1942245568
Name:PARADIGM HEALTH, LLC
Entity Type:Organization
Organization Name:PARADIGM HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HARWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-538-4151
Mailing Address - Street 1:13575 58TH ST N
Mailing Address - Street 2:SUITE 187
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-3740
Mailing Address - Country:US
Mailing Address - Phone:727-538-4151
Mailing Address - Fax:727-538-4209
Practice Address - Street 1:13575 58TH ST N
Practice Address - Street 2:SUITE 187
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-3740
Practice Address - Country:US
Practice Address - Phone:727-538-4151
Practice Address - Fax:727-538-4209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3392685Medicaid
TN3392686Medicaid
NC6005351Medicaid
VAC08780Medicare PIN
TN3392685Medicare PIN
TN3392686Medicaid
TN3392686Medicare PIN
TN3392685Medicaid