Provider Demographics
NPI:1912660069
Name:PARKER RUBEN COUNSELING CENTER
Entity Type:Organization
Organization Name:PARKER RUBEN COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BATTLE-FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHCA
Authorized Official - Phone:919-451-0831
Mailing Address - Street 1:PO BOX 58161
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27658-8161
Mailing Address - Country:US
Mailing Address - Phone:919-451-0831
Mailing Address - Fax:919-977-0596
Practice Address - Street 1:5041 VALLEY STREAM DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-0761
Practice Address - Country:US
Practice Address - Phone:919-451-0831
Practice Address - Fax:919-977-0596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty