Healthcare Provider Details

I. General information

NPI: 1457049801
Provider Name (Legal Business Name): PARRIS QUINTON GREER LPC-ASSOCIATE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2023
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4054 MCKINNEY AVE STE 102
DALLAS TX
75204-2050
US

IV. Provider business mailing address

4054 MCKINNEY AVE STE 102
DALLAS TX
75204-2050
US

V. Phone/Fax

Practice location:
  • Phone: 214-520-6308
  • Fax: 214-521-9172
Mailing address:
  • Phone: 214-520-6308
  • Fax: 214-521-9172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number91496
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: