Provider Demographics
NPI:1821668914
Name:PARROTT, LARISSA N (DSW)
Entity Type:Individual
Prefix:DR
First Name:LARISSA
Middle Name:N
Last Name:PARROTT
Suffix:
Gender:F
Credentials:DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3371 LOBLOLLY DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-3558
Mailing Address - Country:US
Mailing Address - Phone:251-648-2654
Mailing Address - Fax:
Practice Address - Street 1:3371 LOBLOLLY DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693-3558
Practice Address - Country:US
Practice Address - Phone:251-648-2654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2361C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical