Provider Demographics
NPI:1851845465
Name:PARKER, DONNA
Entity Type:Individual
Prefix:
First Name:DONNA
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 1:1921 N RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:LA
Mailing Address - Zip Code:71001-3423
Mailing Address - Country:US
Mailing Address - Phone:318-579-5105
Mailing Address - Fax:318-579-5106
Practice Address - Street 1:1921 N RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:LA
Practice Address - Zip Code:71001-3423
Practice Address - Country:US
Practice Address - Phone:318-579-5105
Practice Address - Fax:318-579-5106
Is Sole Proprietor?:No
Enumeration Date:2016-08-11
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health