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General NPI Number Information
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NPI Number | 1407373657
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Entity Type | Organization
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Legal Business Name | PARKER COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 08/28/2017
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Last Update Date | 06/26/2020
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Provider Practice Location Address
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Address Line | 1801 MANHATTAN BLVD STE J-175
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City | HARVEY
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State | LA
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Zip | 70058-7300
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Country | US
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Telephone | 504-383-5880
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Fax | 504-336-3184
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Provider Business Mailing Address
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Address Line | 2621 RUE JESANN
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City | MARRERO
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State | LA
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Zip | 70072-6341
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Country | US
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Telephone | 504-905-8100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACOSTA CHANTRELL PARKER
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Credential | LCSW
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Telephone | 504-905-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 11792
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License Number State | LA
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