Healthcare Provider Details

I. General information

NPI: 1518856814
Provider Name (Legal Business Name): PARKER COUNSELING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4130 CARATOKE HWY STE B
BARCO NC
27917-8003
US

IV. Provider business mailing address

261 PUDDIN RIDGE RD
MOYOCK NC
27958-8701
US

V. Phone/Fax

Practice location:
  • Phone: 757-354-2408
  • Fax:
Mailing address:
  • Phone: 757-354-2408
  • Fax: 252-403-0017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JASMINE PARKER
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LCSW
Phone: 757-354-2408