Provider Demographics
NPI:1386376648
Name:PARADIGM BEHAVIORAL THERAPY LLC
Entity type:Organization
Organization Name:PARADIGM BEHAVIORAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:G
Authorized Official - Last Name:MCAREE
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC, MLADC
Authorized Official - Phone:603-512-1075
Mailing Address - Street 1:19 WEYMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-5025
Mailing Address - Country:US
Mailing Address - Phone:603-512-1075
Mailing Address - Fax:
Practice Address - Street 1:19 WEYMOUTH DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-5025
Practice Address - Country:US
Practice Address - Phone:603-512-1075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty