Provider Demographics
NPI:1497407761
Name:PARSHALL, STEVEN TODD (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:TODD
Last Name:PARSHALL
Suffix:
Gender:M
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3894 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSON
Mailing Address - State:NY
Mailing Address - Zip Code:14589-9541
Mailing Address - Country:US
Mailing Address - Phone:585-690-8712
Mailing Address - Fax:
Practice Address - Street 1:3894 RIDGE RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSON
Practice Address - State:NY
Practice Address - Zip Code:14589-9541
Practice Address - Country:US
Practice Address - Phone:585-690-8712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011564101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional