Provider Demographics
NPI:1891061578
Name:MARY ANNE PARRISH, LCSW, P.C.
Entity Type:Organization
Organization Name:MARY ANNE PARRISH, LCSW, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CAC III
Authorized Official - Phone:303-322-6997
Mailing Address - Street 1:90 MADISON ST.
Mailing Address - Street 2:SUITE 204
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5411
Mailing Address - Country:US
Mailing Address - Phone:303-322-6997
Mailing Address - Fax:303-377-2093
Practice Address - Street 1:90 MADISON ST.
Practice Address - Street 2:SUITE 204
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5411
Practice Address - Country:US
Practice Address - Phone:303-322-6997
Practice Address - Fax:303-377-2093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9897291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO6027-6Medicare UPIN