Provider Demographics
NPI:1124201975
Name:PARENT, ILKA BARBARA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ILKA
Middle Name:BARBARA
Last Name:PARENT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 SUNSET LAKE RD
Mailing Address - Street 2:
Mailing Address - City:LUMBER BRIDGE
Mailing Address - State:NC
Mailing Address - Zip Code:28357-8975
Mailing Address - Country:US
Mailing Address - Phone:910-565-2543
Mailing Address - Fax:
Practice Address - Street 1:344 SUNSET LAKE RD
Practice Address - Street 2:
Practice Address - City:LUMBER BRIDGE
Practice Address - State:NC
Practice Address - Zip Code:28357-8975
Practice Address - Country:US
Practice Address - Phone:910-565-2543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-14
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6746101YP2500X
TX16168101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional