Healthcare Provider Details
I. General information
NPI: 1801589320
Provider Name (Legal Business Name): PARISH HEALTH AND WELLNESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/31/2023
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22425 SUNBRIGHT AVE
RED BLUFF CA
96080-9741
US
IV. Provider business mailing address
PO BOX 8506
RED BLUFF CA
96080-8506
US
V. Phone/Fax
- Phone: 530-528-2342
- Fax:
- Phone: 530-528-2342
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LINDA
LOUISE
SPYRES
Title or Position: CEO/ PROGRAM MANAGER
Credential: LCSW, LAADC-CA
Phone: 530-528-2342