Provider Demographics
NPI:1235535154
Name:PARSONS, CALLIE (LMHC)
Entity Type:Individual
Prefix:
First Name:CALLIE
Middle Name:
Last Name:PARSONS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3659 BAHIA VISTA ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-2407
Mailing Address - Country:US
Mailing Address - Phone:941-320-8059
Mailing Address - Fax:941-922-1930
Practice Address - Street 1:3659 BAHIA VISTA ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-2407
Practice Address - Country:US
Practice Address - Phone:941-320-8059
Practice Address - Fax:941-922-1930
Is Sole Proprietor?:No
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12082101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH12082OtherFL DEPT OF HEALTH