Provider Demographics
NPI:1790193118
Name:PARKER, LORETTA (LMFT 105398)
Entity Type:Individual
Prefix:
First Name:LORETTA
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:LMFT 105398
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 LAKESOUTH TER
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-7834
Mailing Address - Country:US
Mailing Address - Phone:916-837-5228
Mailing Address - Fax:916-971-1504
Practice Address - Street 1:118 LAKESOUTH TER
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-7834
Practice Address - Country:US
Practice Address - Phone:916-837-5228
Practice Address - Fax:916-971-1504
Is Sole Proprietor?:No
Enumeration Date:2014-07-29
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 66336106H00000X
CA105398106H00000X
ARM2307001106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist