Healthcare Provider Details

I. General information

NPI: 1548186729
Provider Name (Legal Business Name): PARAKLEOS MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 BRIDGEPORT ST
DANA POINT CA
92629-3257
US

IV. Provider business mailing address

84 BRIDGEPORT ST
DANA POINT CA
92629-3257
US

V. Phone/Fax

Practice location:
  • Phone: 757-355-3942
  • Fax:
Mailing address:
  • Phone: 757-355-3942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERTA EDNA DEZZANI
Title or Position: OWNER
Credential: LMFT
Phone: 757-355-3942