Healthcare Provider Details

I. General information

NPI: 1376400440
Provider Name (Legal Business Name): SANDRA LINDSAY PARKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

401 4TH ST SW STE 102
HICKORY NC
28602-2872
US

IV. Provider business mailing address

4746 RANSOM DR
CONOVER NC
28613-8517
US

V. Phone/Fax

Practice location:
  • Phone: 828-630-7516
  • Fax:
Mailing address:
  • Phone: 828-449-7513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: