Provider Demographics
NPI:1578305546
Name:PARAGON BEHAVIORAL HEALTH CONNECTIONS
Entity type:Organization
Organization Name:PARAGON BEHAVIORAL HEALTH CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAMILLE
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:HARDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-840-7876
Mailing Address - Street 1:12567 W CEDAR DR STE 250
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-2039
Mailing Address - Country:US
Mailing Address - Phone:303-691-6095
Mailing Address - Fax:
Practice Address - Street 1:295 5TH ST UNIT 6
Practice Address - Street 2:
Practice Address - City:FAIRPLAY
Practice Address - State:CO
Practice Address - Zip Code:80440-5016
Practice Address - Country:US
Practice Address - Phone:719-427-6701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)