Provider Demographics
NPI:1922485754
Name:EARL QUINTON PARROTT
Entity Type:Organization
Organization Name:EARL QUINTON PARROTT
Other - Org Name:PSYCHIATRIC AND THERAPY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EARL
Authorized Official - Middle Name:Q
Authorized Official - Last Name:PARROTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-444-5160
Mailing Address - Street 1:1121 TROTWOOD AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-1803
Mailing Address - Country:US
Mailing Address - Phone:931-444-5160
Mailing Address - Fax:931-361-0118
Practice Address - Street 1:1121 TROTWOOD AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-1803
Practice Address - Country:US
Practice Address - Phone:931-444-5160
Practice Address - Fax:931-361-0118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10018261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNB03098Medicare UPIN