Provider Demographics
NPI:1528668324
Name:PARAGON COUNSELING AND CONSULTING
Entity type:Organization
Organization Name:PARAGON COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAI
Authorized Official - Middle Name:
Authorized Official - Last Name:COMBEST
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:832-754-0650
Mailing Address - Street 1:2919 DRIFTWOOD BEND DR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-6113
Mailing Address - Country:US
Mailing Address - Phone:832-754-0650
Mailing Address - Fax:
Practice Address - Street 1:2919 DRIFTWOOD BEND DR
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-6113
Practice Address - Country:US
Practice Address - Phone:832-754-0650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-30
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty