Provider Demographics
NPI:1518423342
Name:PARKER, RHONDA BERNICE (MSW, CSAC)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:BERNICE
Last Name:PARKER
Suffix:
Gender:F
Credentials:MSW, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 PORTSMOUTH BLVD
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-2233
Mailing Address - Country:US
Mailing Address - Phone:757-567-6586
Mailing Address - Fax:
Practice Address - Street 1:1258 HOLLAND RD
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-6313
Practice Address - Country:US
Practice Address - Phone:757-809-4771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-18
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710103147101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)