Healthcare Provider Details

I. General information

NPI: 1902008394
Provider Name (Legal Business Name): ANN NELSON PARKER MED LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 KATHRYN DRIVE STE E
LEWISVILLE TX
75067
US

IV. Provider business mailing address

105 KATHRYN DRIVE STE E
LEWISVILLE TX
75067
US

V. Phone/Fax

Practice location:
  • Phone: 972-420-0566
  • Fax: 972-221-3046
Mailing address:
  • Phone: 972-420-0566
  • Fax: 972-221-3046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number10901LPC
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: