Provider Demographics
NPI:1598269177
Name:PARCHMENT, YANIQUE SHECA
Entity Type:Individual
Prefix:
First Name:YANIQUE
Middle Name:SHECA
Last Name:PARCHMENT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 LAS PALMAS ST
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1030
Mailing Address - Country:US
Mailing Address - Phone:561-255-1300
Mailing Address - Fax:
Practice Address - Street 1:308 LAS PALMAS ST
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1030
Practice Address - Country:US
Practice Address - Phone:561-255-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator