MEDICARE: PARKS & ASSOCIATES THERAPY AND CONSULTATION

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1871420695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARKS & ASSOCIATES THERAPY AND CONSULTATION

Provider Business Mailing Address
First Line	:	3517 COLORADO HIGH AVE
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78744-3338
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3517 COLORADO HIGH AVE
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78744-3338
Country	:	US
Telephone Number	:	512-956-8107
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	HOLLY PARKS
Credential	:	PARKS
Telephone Number	:	512-698-5671

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/13/2026

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