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Organization
PARADOXIQ
Active
Organization
PARADOXIQ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY SMITH MS, LPC (CLINICAL DIRECTOR)
(918) 521-8565
Entity
Organization
Contact information
Practice address
6910 S CIMARRON RD # 110, LAS VEGAS, NV 89113-2280
(702) 664-1499
(702) 664-1499
Mailing address
4262 BLUE DIAMOND RD # 102-105, LAS VEGAS, NV 89139-7789
(918) 521-8565
(702) 664-1499
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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