MEDICARE: MRS. ANNEGELIQUE NICHOLE PARKER LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	39003214A	IN

General Provider Information

NPI Number	:	1073850574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNEGELIQUE NICHOLE PARKER LMHC

Provider Business Mailing Address
First Line	:	4800 N SCOTTSDALE RD STE 2500
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7630
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8205 E 56TH ST STE 200
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46216-1069
Country	:	US
Telephone Number	:	216-468-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2013
Last Update Date	:	06/02/2026

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