Provider Demographics
NPI:1740864149
Name:PARKER, MARGARET MAE (MSED LMFT, LMHCA)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:MAE
Last Name:PARKER
Suffix:
Gender:F
Credentials:MSED LMFT, LMHCA
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:MAE
Other - Last Name:HEINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSED LMFT, LMHCA
Mailing Address - Street 1:500 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46802-1406
Mailing Address - Country:US
Mailing Address - Phone:260-421-5000
Mailing Address - Fax:260-421-5003
Practice Address - Street 1:500 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46802-1406
Practice Address - Country:US
Practice Address - Phone:260-421-5000
Practice Address - Fax:260-421-5003
Is Sole Proprietor?:No
Enumeration Date:2021-05-11
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35001689A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist