Healthcare Provider Details

I. General information

NPI: 1659957694
Provider Name (Legal Business Name): CHRISTY LYNN PARSONS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2021
Last Update Date: 03/21/2021
Certification Date: 03/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S MAIN ST STE 103
BEL AIR MD
21014-5473
US

IV. Provider business mailing address

607 JACKSON BLVD
BEL AIR MD
21014-4434
US

V. Phone/Fax

Practice location:
  • Phone: 410-870-4247
  • Fax:
Mailing address:
  • Phone: 410-241-7466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGP10308
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: