Provider Demographics
NPI:1740600691
Name:PARKS, RACHEL GABRIELLE (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:GABRIELLE
Last Name:PARKS
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6727 MARTIN LUTHER KING JR WAY S STE M
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-3205
Mailing Address - Country:US
Mailing Address - Phone:206-414-8045
Mailing Address - Fax:
Practice Address - Street 1:1800 WESTLAKE AVE N STE 302
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109
Practice Address - Country:US
Practice Address - Phone:206-771-5287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-18
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LH60715746101YM0800X
WAMC60320174101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health