Provider Demographics
NPI:1720797517
Name:CHASEPARNELLLMHCA
Entity Type:Organization
Organization Name:CHASEPARNELLLMHCA
Other - Org Name:CHASE PARNELL LMHC
Other - Org Type:Other Name
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHASE
Authorized Official - Middle Name:G
Authorized Official - Last Name:PARNELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:260-229-7536
Mailing Address - Street 1:3612 WINDING RIVER CT
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46818-8950
Mailing Address - Country:US
Mailing Address - Phone:260-229-7536
Mailing Address - Fax:
Practice Address - Street 1:3262 MALLARD COVE LN
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-2883
Practice Address - Country:US
Practice Address - Phone:219-440-6595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-21
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty