Provider Demographics
NPI:1083961957
Name:PARKER SCOTT ENTERPRISES LLC
Entity Type:Organization
Organization Name:PARKER SCOTT ENTERPRISES LLC
Other - Org Name:LISA PARKER SCOTT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:MUELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-251-4871
Mailing Address - Street 1:621 S NEW BALLAS RD
Mailing Address - Street 2:STE 112A
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8232
Mailing Address - Country:US
Mailing Address - Phone:314-251-4871
Mailing Address - Fax:314-251-5808
Practice Address - Street 1:621 S NEW BALLAS RD
Practice Address - Street 2:STE 112A
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8232
Practice Address - Country:US
Practice Address - Phone:314-251-4871
Practice Address - Fax:314-251-5808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01906103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty