Healthcare Provider Details

I. General information

NPI: 1831046226
Provider Name (Legal Business Name): MARY PARCHINSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1826 FAZIO DR
PINEHURST NC
28374-1808
US

IV. Provider business mailing address

1826 FAZIO DR
PINEHURST NC
28374-1808
US

V. Phone/Fax

Practice location:
  • Phone: 719-200-0068
  • Fax:
Mailing address:
  • Phone: 719-200-0068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA22705
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: