Healthcare Provider Details

I. General information

NPI: 1295967362
Provider Name (Legal Business Name): LINDSEY NICHOLE PARKS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2009
Last Update Date: 01/26/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8536 E 25TH PL
DENVER CO
80238-2998
US

IV. Provider business mailing address

8536 E 25TH PL
DENVER CO
80238-2998
US

V. Phone/Fax

Practice location:
  • Phone: 720-231-5212
  • Fax: 303-782-0916
Mailing address:
  • Phone: 720-231-5212
  • Fax: 303-782-0916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number9923292
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: