Provider Demographics
NPI:1801277421
Name:PARRISH, RODNEY DARNELL (LCAS)
Entity type:Individual
Prefix:
First Name:RODNEY
Middle Name:DARNELL
Last Name:PARRISH
Suffix:
Gender:
Credentials:LCAS
Other - Prefix:
Other - First Name:RODNEY
Other - Middle Name:
Other - Last Name:DARNEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCAS
Mailing Address - Street 1:4600 MONTGOMERY RD STE 400
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-2600
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4813 W MARKET ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1403
Practice Address - Country:US
Practice Address - Phone:855-510-4357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-10
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-20913101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)