Provider Demographics
NPI:1669532552
Name:PARAKLETOS SERVICES INC.
Entity type:Organization
Organization Name:PARAKLETOS SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:NATHANIEL
Authorized Official - Last Name:COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:252-321-7009
Mailing Address - Street 1:1528 EVANS ST
Mailing Address - Street 2:SUITE M
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5311
Mailing Address - Country:US
Mailing Address - Phone:252-321-7009
Mailing Address - Fax:252-321-2740
Practice Address - Street 1:1528 EVANS ST
Practice Address - Street 2:SUITE M
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5311
Practice Address - Country:US
Practice Address - Phone:252-321-7009
Practice Address - Fax:252-321-2740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300929Medicaid