Healthcare Provider Details

I. General information

NPI: 1659684280
Provider Name (Legal Business Name): MATTHEW AARON PARKINSON LMFT, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2010
Last Update Date: 10/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 BILTMORE AVE # 276.1
ASHEVILLE NC
28801-4601
US

IV. Provider business mailing address

501 BILTMORE AVE # 276.1
ASHEVILLE NC
28801-4601
US

V. Phone/Fax

Practice location:
  • Phone: 828-213-4502
  • Fax: 828-681-1575
Mailing address:
  • Phone: 828-213-4502
  • Fax: 828-681-1575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12538
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number88219
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: