MARY PAT PARKER (NPI# 1184193062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184193062 |
| Entity Type | Individual |
| Full Name | MARY PAT PARKER |
| Credential | MHP |
| Practice Address |
4335 Old Mooringsport Rd Shreveport LA 71107-2937 |
| Mailing Address |
Po Box 7623 Shreveport LA 71137-7623 |
| Practice Telephone | 3187712190 |
| Mailing Telephone | 3187712190 |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689193989 | Mary E Parker | Registered Nurse | 1502 Valwood Ave, Thomasville, GA 31792-3943 | 2017-09-18 |
| 1043755036 | Mary Parker | Behavior Technician | 290 Paradise Blvd Apt 17, Indialantic, FL 32903 | 2016-12-29 |
| 1356891980 | Mary Lynn Parker | Social Worker | 120 Arbor Ridge Rd, Ridgeland, MS 39157-9703 | 2016-10-06 |
| 1871041061 | Mary Parker | Counselor | 495 Gold Star Hwy Ste 324, Groton, CT 06340-6230 | 2016-09-15 |
| 1942652219 | Mary Parker | Social Worker | 108 Palmetto Park Blvd Ste D, Lexington, SC 29072-7969 | 2016-07-11 |
| 1962839944 | Mary Parker | Physical Therapist | 123 S Chenango Street Ext, Greene, NY 13778-2301 | 2013-10-04 |
| 1013150903 | Mary Frances Parker | Speech-Language Pathologist | 5372 Timberline Dr, Jacksonville, FL 32277-1020 | 2009-04-08 |
| 1235385444 | Mary Jeanette Parker | Counselor | 6111 E Claysville Rd, Hartsburg, MO 65039-9625 | 2008-08-07 |
| 1689864480 | Mary Kay Parker | Speech-Language Pathologist | 19495 N 90th Ln, Peoria, AZ 85382-8560 | 2007-07-27 |
| 1942338124 | Mary Jones Parker | Clinic/Center | 180 6th Ave, Lutheran Fhcn School Health Program, Brooklyn, NY 11217-3507 | 2007-03-01 |
| Street Address |
4335 OLD MOORINGSPORT RD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71107-2937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490875 | Kimber Leigh Lumley | Registered Nurse | 1440 Hawn Ave., Shreveport, LA 71107 | 2019-08-01 |
| 1871063461 | Nicole Capito | Case Manager/Care Coordinator | 200 North Thomas Drive Ste 1, Shreveport, LA 71107 | 2018-11-27 |
| 1891260899 | Danielle Leigh Dreher | Dental Assistant | 3610 Gorman Rd, Shreveport, LA 71107 | 2018-10-05 |
| 1255817540 | Shirley Marie Washington | Technician | 3227 Old Mooringsport Rd., Shreveport Rd, LA 71107 | 2018-07-19 |
| 1366928467 | Katrina L Bailey | Case Manager/Care Coordinator | 1111 Hawn Ave Apt A, Shreveport, LA 71107 | 2018-07-12 |
| 1063907970 | James Mcneely IIi | Public Health or Welfare | 5922 Alaska Ln, Shreveport, LA 71107 | 2018-06-25 |
| 1528560067 | Jacarie Guice | Case Manager/Care Coordinator | 4601 N. Market Ste 2, Shreveport, LA 71107 | 2018-03-01 |
| 1467971069 | Tracy Renard Harris | Counselor | 1149 Englemeade Dr, Shreveport, LA 71107 | 2017-09-14 |
| 1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
| 1356871164 | Hope4youth | Voluntary or Charitable | 2850 King Oaks Loop, Shreveport, LA 71107 | 2017-06-14 |
| Find all providers in zip 71107 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786502 | Erik Rasmussen | Counselor | 670 Albemarle Dr Ste 700, Shreveport, LA 71106-5946 | 2020-09-25 |
| 1043842750 | Creative Community Counseling LLC | Counselor | 2920 Knight St Ste 131, Shreveport, LA 71105-2412 | 2020-02-11 |
| 1477191591 | Keona Chequise Kidd | Counselor | 2829 Dunlap St, Shreveport, LA 71103-2244 | 2019-12-19 |
| 1336781632 | A New Beginning Counseling Services, LLC | Counselor | 9441 Oleander Dr, Shreveport, LA 71118-4008 | 2019-10-08 |
| 1841840311 | Theresa Davidson Snow | Counselor | 820 Jordan St Ste 510w, Shreveport, LA 71101-4526 | 2019-09-17 |
| 1962057737 | Mariana Penny | Counselor | 152 E College St, Shreveport, LA 71104-2510 | 2019-08-07 |
| 1528622818 | Kendal Redel | Counselor | 10011 Hanover Dr, Shreveport, LA 71115-3430 | 2019-04-23 |
| 1962960351 | Brandon Lewis-graham | Counselor | 3201 Knight St Apt 2206, Shreveport, LA 71105-2749 | 2019-03-05 |
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1659840312 | Donna Brown Franks | Counselor | 236 E Gregg St, Shreveport, LA 71104-5119 | 2018-11-24 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71107 |
Please comment or provide details below to improve the information on MARY PAT PARKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.