Healthcare Provider Details

I. General information

NPI: 1225608474
Provider Name (Legal Business Name): LINDSEY THOMAS PARRISH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2021
Last Update Date: 06/30/2021
Certification Date: 06/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 TOWER RD NE STE 300
MARIETTA GA
30060-9408
US

IV. Provider business mailing address

2849 LIVSEY DR
TUCKER GA
30084-2577
US

V. Phone/Fax

Practice location:
  • Phone: 770-427-2457
  • Fax:
Mailing address:
  • Phone: 404-909-1949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW006849
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: