Provider Demographics
NPI:1548663644
Name:PARKAIRE CONSULTANTS, INC.
Entity type:Organization
Organization Name:PARKAIRE CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:KESSLER
Authorized Official - Last Name:PRUITT
Authorized Official - Suffix:
Authorized Official - Credentials:MED/PT
Authorized Official - Phone:770-578-1519
Mailing Address - Street 1:4939 LOWER ROSWELL RD
Mailing Address - Street 2:SUITE 201C
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-4338
Mailing Address - Country:US
Mailing Address - Phone:770-578-1519
Mailing Address - Fax:770-578-0860
Practice Address - Street 1:4939 LOWER ROSWELL RD
Practice Address - Street 2:SUITE 201C
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-4338
Practice Address - Country:US
Practice Address - Phone:770-578-1519
Practice Address - Fax:770-578-0860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty