MEDICARE: MS. STEPHANIE BROOK PARSONS MA, ALC, 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
1	101YM0800X	Mental Health Counselor	ALC04764	AL

General Provider Information

NPI Number	:	1669234241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. STEPHANIE BROOK PARSONS MA, ALC, NCC

Provider Business Mailing Address
First Line	:	2011 FLAGSTONE DR APT 1106
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-2958
Country	:	US
Telephone Number	:	662-660-3290
Fax Number	:

Provider Business Practice Location Address
First Line	:	2011 FLAGSTONE DR APT 1106
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-2958
Country	:	US
Telephone Number	:	662-660-3290
Fax Number	:

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

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	01/29/2024

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