Healthcare Provider Details

I. General information

NPI: 1609489806
Provider Name (Legal Business Name): PARNEET SAHOTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2020
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 3RD ST
MOLINE IL
61265-6106
US

IV. Provider business mailing address

317 11TH AVE
MOLINE IL
61265-1209
US

V. Phone/Fax

Practice location:
  • Phone: 309-779-3000
  • Fax:
Mailing address:
  • Phone: 309-206-7447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number109194
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: