Healthcare Provider Details

I. General information

NPI: 1972090322
Provider Name (Legal Business Name): MS. ODDETTE A PARKER-CHIECO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE LPCC ,NCC

II. Dates (important events)

Enumeration Date: 04/20/2018
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2578 BROADWAY
NEW YORK NY
10025-5642
US

IV. Provider business mailing address

THE NEW YORK FOUNDLING HEADQUARTERS 590 AVENUE OF AMERICAS
NEW YORK NY
10011-9904
US

V. Phone/Fax

Practice location:
  • Phone: 502-519-2599
  • Fax:
Mailing address:
  • Phone: 212-633-9300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number296263
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: