Provider Demographics
NPI:1376003418
Name:OKOLI, ELIZABETH PARKER (LPC/MHSP)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:PARKER
Last Name:OKOLI
Suffix:
Gender:F
Credentials:LPC/MHSP
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:CARROLL
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC/MHSP
Mailing Address - Street 1:5011 VEROSA AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-2075
Mailing Address - Country:US
Mailing Address - Phone:901-413-2365
Mailing Address - Fax:
Practice Address - Street 1:8350 MACON RD
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-8554
Practice Address - Country:US
Practice Address - Phone:901-614-1902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-24
Last Update Date:2019-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional