Healthcare Provider Details

I. General information

NPI: 1457870396
Provider Name (Legal Business Name): DARLENE PARNELL LCSW COUNSELING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11650 LANTERN RD STE 110
FISHERS IN
46038-3096
US

IV. Provider business mailing address

11650 LANTERN RD STE 110
FISHERS IN
46038-3096
US

V. Phone/Fax

Practice location:
  • Phone: 317-432-4443
  • Fax: 317-576-8602
Mailing address:
  • Phone: 317-432-4443
  • Fax: 317-576-8602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DARLENE PARNELL
Title or Position: OWNER/SENIOR COUNSELOR
Credential: LCSW
Phone: 317-432-4443