Provider Demographics
NPI:1659917029
Name:PARRISH, CHERISSE NICOLE
Entity Type:Individual
Prefix:
First Name:CHERISSE
Middle Name:NICOLE
Last Name:PARRISH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHERISSE
Other - Middle Name:NICOLE
Other - Last Name:PARRISH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LISW-S
Mailing Address - Street 1:7092 MERLIN WAY
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-8025
Mailing Address - Country:US
Mailing Address - Phone:513-388-7816
Mailing Address - Fax:
Practice Address - Street 1:6098 PAWNEE DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-2312
Practice Address - Country:US
Practice Address - Phone:513-398-7816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-20
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1501427171M00000X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No171M00000XOther Service ProvidersCase Manager/Care Coordinator