Paradise, Jeanie L.

Paradise, Jeanie L. is an individual health care provider with primary practice located at 7979 Wurzbach Rd , San Antonio TX 78229-4427. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Paradise, Jeanie L. can be contacted via phone (210) 450-5570.

Contact Information

Primary practice address
7979 Wurzbach Rd San Antonio TX 78229-4427
Phone: (210) 450-5570
Fax: (210) 450-2141
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 17533 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 17533 Texas

Profile Details

NPI number 1558302927
LBN Legal business name Paradise, Jeanie L.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated May 13th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558302927 NPPES
Texas MEDICAID 148852001

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