Provider Demographics
NPI:1467776526
Name:PARKER, PRISCILLA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:PRISCILLA
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:PRISCILLA
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:553 NEW HOPE RD
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-7376
Mailing Address - Country:US
Mailing Address - Phone:828-748-6588
Mailing Address - Fax:
Practice Address - Street 1:750 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29306-5348
Practice Address - Country:US
Practice Address - Phone:864-582-2411
Practice Address - Fax:864-582-7179
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-18
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7719101YM0800X
SC7399101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health