Healthcare Provider Details

I. General information

NPI: 1508517921
Provider Name (Legal Business Name): RENEE PARHM LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2022
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 CRAWFORD ST APT 308
PORTSMOUTH VA
23704-3813
US

IV. Provider business mailing address

110 COLISEUM XING UNIT 656
HAMPTON VA
23666-5971
US

V. Phone/Fax

Practice location:
  • Phone: 757-472-8746
  • Fax:
Mailing address:
  • Phone: 757-472-8746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701015380
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: