MEDICARE: ALICE MARIE PARKS

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	LGP17631	MD

General Provider Information

NPI Number	:	1821938671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICE MARIE PARKS

Provider Business Mailing Address
First Line	:	2208 JEROME DR
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-3253
Country	:	US
Telephone Number	:	240-795-2883
Fax Number	:

Provider Business Practice Location Address
First Line	:	9750 APOLLO DR # B29
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-4924
Country	:	US
Telephone Number	:	240-795-2883
Fax Number	:

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

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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Directions to “ ALICE MARIE PARKS ” Practice Location

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