Provider Demographics
NPI:1518752039
Name:PARIS AWALT, PLLC
Entity type:Organization
Organization Name:PARIS AWALT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:PARIS
Authorized Official - Middle Name:SUSANNAH
Authorized Official - Last Name:AWALT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-219-4528
Mailing Address - Street 1:6 CHENELL DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-8514
Mailing Address - Country:US
Mailing Address - Phone:603-219-4528
Mailing Address - Fax:603-219-4528
Practice Address - Street 1:6 CHENELL DR STE 100
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-8514
Practice Address - Country:US
Practice Address - Phone:603-219-4528
Practice Address - Fax:603-219-4528
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARIS AWALT, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health