Provider Demographics
NPI:1821385824
Name:PARKER, ARLECIA YVETTE (MED/ LADC)
Entity Type:Individual
Prefix:
First Name:ARLECIA
Middle Name:YVETTE
Last Name:PARKER
Suffix:
Gender:F
Credentials:MED/ LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2617 NW 23RD ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-2209
Mailing Address - Country:US
Mailing Address - Phone:405-248-4327
Mailing Address - Fax:
Practice Address - Street 1:1501 NE 11TH
Practice Address - Street 2:
Practice Address - City:OKLAHOMA
Practice Address - State:OK
Practice Address - Zip Code:73117
Practice Address - Country:US
Practice Address - Phone:405-230-1151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)