Provider Demographics
NPI:1790576098
Name:CAROLYN PARKER COUNSELING AND WELLNESS
Entity type:Organization
Organization Name:CAROLYN PARKER COUNSELING AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:BUTTON
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-845-0248
Mailing Address - Street 1:26604 E BONFIELD RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MD
Mailing Address - Zip Code:21654-1425
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5731 BLACK WALNUT POINT RD
Practice Address - Street 2:
Practice Address - City:TILGHMAN ISLAND
Practice Address - State:MD
Practice Address - Zip Code:21671
Practice Address - Country:US
Practice Address - Phone:303-845-0248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAROLYN PARKER COUNSELING AND WELLNESS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty