Provider Demographics
NPI:1396803581
Name:TERRI S. PARSONS, LCSW, PLLC
Entity type:Organization
Organization Name:TERRI S. PARSONS, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:S
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:865-766-0180
Mailing Address - Street 1:5401 KINGSTON PIKE
Mailing Address - Street 2:SUITE 285
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5022
Mailing Address - Country:US
Mailing Address - Phone:865-766-0180
Mailing Address - Fax:865-766-0830
Practice Address - Street 1:5401 KINGSTON PIKE
Practice Address - Street 2:SUITE 285
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5022
Practice Address - Country:US
Practice Address - Phone:865-766-0180
Practice Address - Fax:865-766-0830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3923297Medicaid
TN3923298Medicare ID - Type Unspecified