Provider Demographics
NPI:1205846177
Name:PARRISH, BRIAN DUNCAN (LCSW)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:DUNCAN
Last Name:PARRISH
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARL R. DARNALL ARMY MEDICAL CENTER
Mailing Address - Street 2:36000 DARNALL LOOP
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544
Mailing Address - Country:US
Mailing Address - Phone:254-288-6474
Mailing Address - Fax:254-288-3281
Practice Address - Street 1:CARL R. DARNALL ARMY MEDICAL CENTER DEPT OF SOCIAL WORK
Practice Address - Street 2:BLDG 2255, 52ND STREET & 761ST TANK BATTALION BLVD
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-288-6474
Practice Address - Fax:254-288-3281
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0707081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01420795Medicaid
NY01420795Medicaid