Provider Demographics
NPI:1841525599
Name:PARAKLETOS SERVICES INCORPORATED
Entity type:Organization
Organization Name:PARAKLETOS SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:NATHANIEL
Authorized Official - Last Name:COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-347-8645
Mailing Address - Street 1:4917 PIEDMONT PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:JAMESTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27282-7535
Mailing Address - Country:US
Mailing Address - Phone:336-834-4337
Mailing Address - Fax:
Practice Address - Street 1:4917 PIEDMONT PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:JAMESTOWN
Practice Address - State:NC
Practice Address - Zip Code:27282-7535
Practice Address - Country:US
Practice Address - Phone:336-834-4337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-14
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health