Provider Demographics
NPI:1467285759
Name:PARKER, SHARLA (LPC, NCC, CSC)
Entity type:Individual
Prefix:
First Name:SHARLA
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:LPC, NCC, CSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 SKELTON ST
Mailing Address - Street 2:
Mailing Address - City:ROYSE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75189-8554
Mailing Address - Country:US
Mailing Address - Phone:469-931-6616
Mailing Address - Fax:
Practice Address - Street 1:521 SKELTON ST
Practice Address - Street 2:
Practice Address - City:ROYSE CITY
Practice Address - State:TX
Practice Address - Zip Code:75189-8554
Practice Address - Country:US
Practice Address - Phone:469-931-6616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86753101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty