MEDICARE: MS. BUNNI PARKER RIC

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	101Y00000X	Counselor	0701014929	VA
2	101YM0800X	Mental Health Counselor	0704015630	VA

General Provider Information

NPI Number	:	1730934332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BUNNI PARKER RIC

Provider Business Mailing Address
First Line	:	9211 FOREST HILL AVE STE 200
Second Line	:	C/O REGUS
City	:	RICHMOND
State	:	VA
Zip	:	23235-6877
Country	:	US
Telephone Number	:	804-547-9810
Fax Number	:	804-807-9894

Provider Business Practice Location Address
First Line	:	9211 FOREST HILL AVE STE 200
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-6877
Country	:	US
Telephone Number	:	804-547-9810
Fax Number	:	804-807-9894

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

Provider Enumeration Date	:	04/18/2024
Last Update Date	:	06/05/2026

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