Healthcare Provider Details

I. General information

NPI: 1891061578
Provider Name (Legal Business Name): MARY ANNE PARRISH, LCSW, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2012
Last Update Date: 09/11/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 LAKELAND GROVE APT 101
MONUMENT CO
80132
US

IV. Provider business mailing address

1524 LAKELAND GROVE APT 101
MONUMENT CO
80132
US

V. Phone/Fax

Practice location:
  • Phone: 303-594-2756
  • Fax: 303-377-2093
Mailing address:
  • Phone: 303-594-2756
  • Fax: 303-377-2093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number989729
License Number StateCO

VIII. Authorized Official

Name: MS. MARY ANNE PARRISH
Title or Position: OWNER, PSYCHOTHERAPIST
Credential: LCSW, CAC III
Phone: 303-322-6997