Provider Demographics
NPI:1235357815
Name:PARSONS, STEPHANIE YVONNE (MSW, PLCSW)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:YVONNE
Last Name:PARSONS
Suffix:
Gender:F
Credentials:MSW, PLCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 CAROLINA DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-6418
Mailing Address - Country:US
Mailing Address - Phone:573-808-6599
Mailing Address - Fax:
Practice Address - Street 1:2306 BLUFF CREEK DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-3552
Practice Address - Country:US
Practice Address - Phone:573-874-8818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20070108511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical