Provider Demographics
NPI:1518680883
Name:PARKHIMTCHIK, NATALLIA (LMSW)
Entity Type:Individual
Prefix:
First Name:NATALLIA
Middle Name:
Last Name:PARKHIMTCHIK
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 C STREET, STE # 3367
Mailing Address - Street 2:1233 CUTTER AVE
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365
Mailing Address - Country:US
Mailing Address - Phone:192-821-0681
Mailing Address - Fax:
Practice Address - Street 1:301 C STREET, STE # 3367
Practice Address - Street 2:1233 CUTTER AVE
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365
Practice Address - Country:US
Practice Address - Phone:192-821-0681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-20784104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZLMSW-20784OtherLMSW