Provider Demographics
NPI:1972021939
Name:DEBBIE PARKER LLC
Entity Type:Organization
Organization Name:DEBBIE PARKER LLC
Other - Org Name:HEALING AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-980-5925
Mailing Address - Street 1:PO BOX 5361
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-0023
Mailing Address - Country:US
Mailing Address - Phone:804-716-7045
Mailing Address - Fax:
Practice Address - Street 1:9505 HULL STREET RD
Practice Address - Street 2:SUITE D2
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-1475
Practice Address - Country:US
Practice Address - Phone:804-716-7045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEBBIE PARKER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-30
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904004489101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty