Healthcare Provider Details

I. General information

NPI: 1396073391
Provider Name (Legal Business Name): ANITA R. PARSONS-BAKHTIAR L.I.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2009
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

663 5TH ST
ROMNEY WV
26757-1214
US

IV. Provider business mailing address

663 5TH ST
ROMNEY WV
26757-1214
US

V. Phone/Fax

Practice location:
  • Phone: 304-283-3174
  • Fax: 888-596-2658
Mailing address:
  • Phone: 304-283-3174
  • Fax: 888-596-2658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberDP02943201
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: