Healthcare Provider Details

I. General information

NPI: 1891184537
Provider Name (Legal Business Name): PARITY WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2015
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 SUBURBAN AVE
SAINT PAUL MN
55119-7001
US

IV. Provider business mailing address

2002 SUBURBAN AVE
SAINT PAUL MN
55119-7001
US

V. Phone/Fax

Practice location:
  • Phone: 651-702-2700
  • Fax:
Mailing address:
  • Phone: 651-702-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JULIE KAY HOOKER
Title or Position: OWNER, CEO
Credential: MS, LADC
Phone: 651-702-2700