MEDICARE: ERIN PARKER

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
1	101Y00000X	Counselor	13016636-6004	UT
2	101YM0800X	Mental Health Counselor	13016636-6004	UT

General Provider Information

NPI Number	:	1639852023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN PARKER

Provider Business Mailing Address
First Line	:	1133 N MAIN ST STE 100
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84041-4868
Country	:	US
Telephone Number	:	316-469-8060
Fax Number	:

Provider Business Practice Location Address
First Line	:	1133 N MAIN ST STE 130
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84041-4830
Country	:	US
Telephone Number	:	801-872-8591
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2023
Last Update Date	:	11/14/2025

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Directions to “ ERIN PARKER ” Practice Location

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