Provider Demographics
NPI:1508550195
Name:PARSONS, TAYLOR A (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:TAYLOR
Middle Name:A
Last Name:PARSONS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:A
Other - Last Name:PARSONS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:141 EVONSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:ARKADELPHIA
Mailing Address - State:AR
Mailing Address - Zip Code:71923-5454
Mailing Address - Country:US
Mailing Address - Phone:870-403-6799
Mailing Address - Fax:
Practice Address - Street 1:2200 FORT ROOTS DR
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-1709
Practice Address - Country:US
Practice Address - Phone:870-403-6799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR10051-M1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical