Provider Demographics
NPI:1821678350
Name:PARRA, LISBETH (LMHC)
Entity Type:Individual
Prefix:
First Name:LISBETH
Middle Name:
Last Name:PARRA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 E 148TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-5707
Mailing Address - Country:US
Mailing Address - Phone:718-401-5050
Mailing Address - Fax:718-401-5080
Practice Address - Street 1:334 E 148TH ST FL 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5707
Practice Address - Country:US
Practice Address - Phone:718-401-5050
Practice Address - Fax:718-401-5080
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102507-01101YM0800X
NY012273101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health