# PARADIS PRACTICE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285221572
- **Authorized official:** LISA PARADIS LIMHP (PRESIDENT)
- **Authorized official phone:** (402) 566-5860

## Contact information

- **Practice address:** 10831 OLD MILL RD STE 200G, OMAHA, NE 68154-2640
- **Practice address phone:** (402) 566-5860
- **Practice address fax:** (402) 322-7681
- **Mailing address:** 10831 OLD MILL RD STE 200G, OMAHA, NE 68154-2640
- **Mailing address phone:** (402) 566-5860
- **Mailing address fax:** (402) 322-7681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/21/2020
- **Last updated:** 12/21/2020
