Provider Demographics
NPI:1356025670
Name:PARADISE HEALING LLC
Entity type:Organization
Organization Name:PARADISE HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAL/ MANAGER OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLAPHIA
Authorized Official - Middle Name:SACKEENA
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, LSW
Authorized Official - Phone:781-267-0954
Mailing Address - Street 1:500 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-6700
Mailing Address - Country:US
Mailing Address - Phone:781-267-0954
Mailing Address - Fax:
Practice Address - Street 1:500 N MAIN ST
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-6700
Practice Address - Country:US
Practice Address - Phone:781-267-0954
Practice Address - Fax:781-885-0789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty