Provider Demographics
NPI:1275919862
Name:PARSON, ELIZABETH FOX I (LPCA)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:FOX
Last Name:PARSON
Suffix:I
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4005 BOWMAN AVE
Mailing Address - Street 2:
Mailing Address - City:RANDLEMAN
Mailing Address - State:NC
Mailing Address - Zip Code:27317-7105
Mailing Address - Country:US
Mailing Address - Phone:336-498-7231
Mailing Address - Fax:
Practice Address - Street 1:1822 N FAYETTEVILLE ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-3274
Practice Address - Country:US
Practice Address - Phone:336-685-2680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10875101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health