Provider Demographics
NPI:1811409618
Name:PARNELL PSYCHOLOGICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:PARNELL PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:C
Authorized Official - Last Name:PARNELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:919-464-5727
Mailing Address - Street 1:538 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-3323
Mailing Address - Country:US
Mailing Address - Phone:919-464-5727
Mailing Address - Fax:
Practice Address - Street 1:538 W MARKET ST
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-3323
Practice Address - Country:US
Practice Address - Phone:919-464-5727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-02
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13368101Y00000X
NC5211103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1790941409Medicaid