Healthcare Provider Details

I. General information

NPI: 1083257125
Provider Name (Legal Business Name): INEZ PARKER MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2019
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3454 OAK ALLEY CT STE 214
TOLEDO OH
43606-1370
US

IV. Provider business mailing address

830 N SUMMIT ST STE 2
TOLEDO OH
43604-1884
US

V. Phone/Fax

Practice location:
  • Phone: 419-740-1836
  • Fax:
Mailing address:
  • Phone: 419-693-9600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberS.2308864
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: