Provider Demographics
NPI:1245086107
Name:PARAKLETOS THERAPEUTIC SERVICES & DISCIPLESHIP
Entity type:Organization
Organization Name:PARAKLETOS THERAPEUTIC SERVICES & DISCIPLESHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PETIT-JEAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:786-967-7873
Mailing Address - Street 1:1240 NE 208TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-2023
Mailing Address - Country:US
Mailing Address - Phone:786-967-7873
Mailing Address - Fax:
Practice Address - Street 1:1240 NE 208TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-2023
Practice Address - Country:US
Practice Address - Phone:786-967-7873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty