Provider Demographics
NPI:1558666206
Name:PARRISH, LANITA FAYE (LMHC)
Entity Type:Individual
Prefix:MISS
First Name:LANITA
Middle Name:FAYE
Last Name:PARRISH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1354 W 28TH ST
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404-4138
Mailing Address - Country:US
Mailing Address - Phone:561-951-4213
Mailing Address - Fax:
Practice Address - Street 1:1354 W 28TH ST
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-4138
Practice Address - Country:US
Practice Address - Phone:561-951-4213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-11
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14357101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health