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NPI Code Detail

MEDICARE: MRS. ANNEGELIQUE NICHOLE PARKER M.S., NCC

MEDICARE: MRS. ANNEGELIQUE NICHOLE PARKER M.S., NCC
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
1101YM0800XMental Health Counselor39003214AIN

General Provider Information

NPI Number : 1073850574
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNEGELIQUE NICHOLE PARKER M.S., NCC
Provider Business Mailing Address
First Line : 8401 HARCOURT RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2036
Country : US
Telephone Number : 317-338-4600
Fax Number :
Provider Business Practice Location Address
First Line : 8401 HARCOURT RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2036
Country : US
Telephone Number : 317-338-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2013
Last Update Date : 04/14/2026

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