Provider Demographics
NPI:1144563081
Name:PARRISH, TAKEISHA LATOYA (QMHP)
Entity Type:Individual
Prefix:MS
First Name:TAKEISHA
Middle Name:LATOYA
Last Name:PARRISH
Suffix:
Gender:F
Credentials:QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12191 LINDLEY DR
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-6087
Mailing Address - Country:US
Mailing Address - Phone:317-770-7134
Mailing Address - Fax:
Practice Address - Street 1:12191 LINDLEY DR
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-6087
Practice Address - Country:US
Practice Address - Phone:317-770-7134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management