Provider Demographics
| NPI: | 1437034527 |
|---|---|
| Name: | ESSENCE & PARKER HEALTH |
| Entity type: | Organization |
| Organization Name: | ESSENCE & PARKER HEALTH |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | MRS |
| Authorized Official - First Name: | DEBORAH |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | DICKERSON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 609-669-0097 |
| Mailing Address - Street 1: | 542 BERLIN CROSS KEYS RD STE 3270 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SICKLERVILLE |
| Mailing Address - State: | NJ |
| Mailing Address - Zip Code: | 08081-4367 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 609-669-0097 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 146 S LAKEVIEW DR STE 202 |
| Practice Address - Street 2: | |
| Practice Address - City: | GIBBSBORO |
| Practice Address - State: | NJ |
| Practice Address - Zip Code: | 08026-1018 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 609-669-0097 |
| Practice Address - Fax: | 856-875-9608 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-08-07 |
| Last Update Date: | 2025-08-07 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261QC1500X | Ambulatory Health Care Facilities | Clinic/Center | Community Health |
| No | 276400000X | Hospital Units | Rehabilitation, Substance Use Disorder Unit | |
| No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health |
| No | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | |
| No | 261QM1000X | Ambulatory Health Care Facilities | Clinic/Center | Migrant Health |
| No | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center | Methadone |
| No | 261QP2400X | Ambulatory Health Care Facilities | Clinic/Center | Prison Health |
| No | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children |
| No | 252Y00000X | Agencies | Early Intervention Provider Agency | |
| No | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
| No | 261QC0050X | Ambulatory Health Care Facilities | Clinic/Center | Critical Access Hospital |
| No | 261QE0002X | Ambulatory Health Care Facilities | Clinic/Center | Emergency Care |
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |
| No | 251S00000X | Agencies | Community/Behavioral Health |
