Provider Demographics
NPI:1265803779
Name:PARROTT, CAREY SR
Entity type:Individual
Prefix:
First Name:CAREY
Middle Name:
Last Name:PARROTT
Suffix:SR
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:CAREY
Other - Middle Name:KENNETH
Other - Last Name:PARROTT
Other - Suffix:SR
Other - Last Name Type:Professional Name
Other - Credentials:LMSW, ICAADC,
Mailing Address - Street 1:9249 HIGHWAY 29 S
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30601-6352
Mailing Address - Country:US
Mailing Address - Phone:706-733-0188
Mailing Address - Fax:
Practice Address - Street 1:9249 HIGHWAY 29 S
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30601-6352
Practice Address - Country:US
Practice Address - Phone:706-733-0188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW006886104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker