Provider Demographics
NPI:1225409451
Name:PARKER, LAURA LEE (MA, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:LAURA LEE
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17015 KENTON DR STE 203
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-5561
Mailing Address - Country:US
Mailing Address - Phone:704-380-0879
Mailing Address - Fax:704-659-4153
Practice Address - Street 1:17015 KENTON DR STE 203
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-5561
Practice Address - Country:US
Practice Address - Phone:704-380-0879
Practice Address - Fax:704-659-4153
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-14
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10987101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health