Healthcare Provider Details

I. General information

NPI: 1023502200
Provider Name (Legal Business Name): MARY FRANCES PARRISH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2018
Last Update Date: 06/28/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 THIMBLE SHOALS BLVD STE 101
NEWPORT NEWS VA
23606-4254
US

IV. Provider business mailing address

732 THIMBLE SHOALS BLVD STE 101
NEWPORT NEWS VA
23606-4254
US

V. Phone/Fax

Practice location:
  • Phone: 757-598-1842
  • Fax:
Mailing address:
  • Phone: 757-598-1842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701005927
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701005927
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: