Provider Demographics
NPI:1770919839
Name:PARKER SUTTON COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:PARKER SUTTON COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:620-227-8306
Mailing Address - Street 1:2406 REEVES AVE
Mailing Address - Street 2:
Mailing Address - City:DODGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67801-2418
Mailing Address - Country:US
Mailing Address - Phone:620-227-8306
Mailing Address - Fax:
Practice Address - Street 1:100 MILITARY AVE
Practice Address - Street 2:SUITE 116
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801-4946
Practice Address - Country:US
Practice Address - Phone:620-227-8306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4253251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health