Provider Demographics
NPI:1629309232
Name:PARKER, JOYCE MARIE
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:MARIE
Last Name:PARKER
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:PO BOX 2818
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72654-2818
Mailing Address - Country:US
Mailing Address - Phone:870-501-7101
Mailing Address - Fax:501-203-0909
Practice Address - Street 1:706 S MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653
Practice Address - Country:US
Practice Address - Phone:870-501-7101
Practice Address - Fax:501-203-0909
Is Sole Proprietor?:No
Enumeration Date:2010-01-21
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor