Provider Demographics
NPI:1629383658
Name:PARRIS, KARRY A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KARRY
Middle Name:A
Last Name:PARRIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KARRY
Other - Middle Name:A
Other - Last Name:COKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:16820 STATE HIGHWAY 9 E
Mailing Address - Street 2:
Mailing Address - City:EUFAULA
Mailing Address - State:OK
Mailing Address - Zip Code:74432-5220
Mailing Address - Country:US
Mailing Address - Phone:918-452-3133
Mailing Address - Fax:
Practice Address - Street 1:16820 STATE HIGHWAY 9 EAST
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:OK
Practice Address - Zip Code:74432-5220
Practice Address - Country:US
Practice Address - Phone:918-452-3335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-13
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK48241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical