Provider Demographics
NPI:1669234241
Name:PARSONS, STEPHANIE BROOK (MA, ALC, NCC)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:BROOK
Last Name:PARSONS
Suffix:
Gender:F
Credentials:MA, ALC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 FLAGSTONE DR APT 1106
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-2958
Mailing Address - Country:US
Mailing Address - Phone:662-660-3290
Mailing Address - Fax:
Practice Address - Street 1:2011 FLAGSTONE DR APT 1106
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-2958
Practice Address - Country:US
Practice Address - Phone:662-660-3290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC04764101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health