Healthcare Provider Details

I. General information

NPI: 1285546697
Provider Name (Legal Business Name): SHAMARI PARRISH MA, LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

443 SPRING ST STE 301
JEFFERSONVILLE IN
47130-4494
US

IV. Provider business mailing address

443 SPRING ST STE 301
JEFFERSONVILLE IN
47130-4494
US

V. Phone/Fax

Practice location:
  • Phone: 812-901-6881
  • Fax:
Mailing address:
  • Phone: 812-901-6881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number88003268A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: