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NPI Code Detail

MEDICARE: LINDA ANN PARRISH LMFT

MEDICARE: LINDA ANN PARRISH LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMT 1299FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174673750
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA ANN PARRISH LMFT
Provider Business Mailing Address
First Line : 6555 COLGATE RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-2452
Country : US
Telephone Number : 904-731-8338
Fax Number :
Provider Business Practice Location Address
First Line : 92 W LOWDER ST
Second Line :
City : MACCLENNY
State : FL
Zip : 32063-2676
Country : US
Telephone Number : 904-259-1137
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 07/08/2007

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