Provider Demographics
NPI:1851684898
Name:PARKER, NIKEISHA
Entity Type:Individual
Prefix:MS
First Name:NIKEISHA
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44738 SIERRA HWY
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-3225
Mailing Address - Country:US
Mailing Address - Phone:661-942-5749
Mailing Address - Fax:661-947-3495
Practice Address - Street 1:44738 SIERRA HWY
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-3225
Practice Address - Country:US
Practice Address - Phone:661-942-5749
Practice Address - Fax:661-947-3495
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT91431106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist