MR. PHILLIP PARKER (NPI# 1609063742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609063742 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP PARKER |
| Credential | M.S. |
| Practice Address |
1459 Main St. Tunica MS 38676 |
| Mailing Address |
Po Box 1046 Clarksdale MS 38614-1046 |
| Practice Telephone | 6623635999 |
| Practice Fax Number | 6626275240 |
| Mailing Telephone | 6626277267 |
| Mailing Fax Number | 6626275240 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CH0540 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538689088 | Phillip Jason Parker | Contractor | 17136 Clairmont Ln, Fredericksburg, VA 22408-9330 | 2017-06-26 |
| 1902214604 | Phillip Parker | Advanced Practice Dental Therapist | 3669 Main St, Stone Ridge, NY 12484-5613 | 2014-07-25 |
| 1063522803 | Phillip R Parker | Dentist | 3700 W Robinson, Suite 102, Norman, OK 73072 | 2006-08-30 |
| 1851340327 | Phillip Ernest Parker | Preventive Medicine | 2340 Ridgetrail Dr, Castle Rock, CO 80104-7692 | 2006-05-10 |
| 1598102121 | Phillip Parker | Technician/Technologist | 801 N 29th St, Billings, MT 59101-0905 | 2013-05-22 |
| 1952589004 | Phillip Livingston Parker | Pharmacist | 1301 Belleville Ave, Brewton, AL 36426-1306 | 2008-01-31 |
| Street Address |
1459 MAIN ST. |
| City | TUNICA |
| State | MS |
| Zip Code | 38676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255940615 | Bernude Jesucat | Speech-Language Pathologist | 1024 Us-61, Tunica, MS 38676 | 2020-07-30 |
| 1588215040 | Scpg Mississippi LLC | Pharmacy | 1068 Hwy 61 N, Tunica, MS 38676 | 2019-09-26 |
| 1265836142 | Freds Stores of Tennessee Inc | Pharmacy | 1068 Highway 61 N., Tunica, MS 38676 | 2014-10-21 |
| 1316278328 | Delta House Calls | Nurse Practitioner | 2073 Old Hwy 61 North, Suite # 2, Tunica, MS 38676 | 2010-01-15 |
| 1104074228 | Ebenezer Home Care LLC | Homemaker | 1189 Main St, Tunicia, MS 38676 | 2008-09-03 |
| 1639356611 | Vincent H Copeland | Dentist | 1040 Highway 61 South, Tunica, MS 38676 | 2008-01-22 |
| 1245360148 | Tunica County Healthcare Authority | Family Medicine | 1813 U. S. Highway 61 North, Tunica, MS 38676 | 2007-03-07 |
| 1780749739 | Tunica Quality Drugs, Inc | Pharmacy | 1068 Highway 61 N, Tunica, MS 38676 | 2006-12-27 |
| 1073625760 | Rcg Tunica, LLC | Clinic/Center | 1821 U.S. Hwy. 61 North, Tunica, MS 38676 | 2006-08-31 |
| 1538120258 | Preventive Care Health Services LLC | Nurse Practitioner | 2073 Old Highway 61 N, Ste#2, Tunica, MS 38676 | 2006-03-31 |
| Find all providers in zip 38676 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952507410 | Yaminoh Childress-dunbar | Counselor | 1459 Main St, Tunica, MS 38676 | 2007-06-22 |
| 1083819106 | Kyle Kimbriel Still | Counselor | 1459 Main St, Tunica, MS 38676 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134868 | Charsie Duvall | Counselor | 1302 Pleasant Grove Chapparal Rd, Waynesboro, MS 39367-7415 | 2020-11-02 |
| 1356940977 | Joy Wheeler | Counselor | 8631 Pigeon Roost Rd, Olive Branch, MS 38654-1298 | 2020-10-23 |
| 1427655364 | Nurturing Hands | Counselor | 296 Beauvoir Rd Ste 100-156, Biloxi, MS 39531-4051 | 2020-10-05 |
| 1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
| 1245846807 | Rochelle Grice | Counselor | 6871 Wrenwood Dr, Horn Lake, MS 38637-7710 | 2020-09-18 |
| 1265047237 | Tori Weatherspoon | Counselor | Timber Hills Mental Health Services, 2441- A Co Rd 501, Ripley, MS 38663 | 2020-09-15 |
| 1629681531 | Kayla Denea White | Counselor | 6 Professional Pkwy, Ridgeland, MS 39157-4113 | 2020-08-28 |
| 1184242711 | New Life Goals, LLC | Counselor | 504 Cooper Rd, Jackson, MS 39212-4704 | 2020-07-09 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1477179315 | Fredna Leigh Georgen | Counselor | 615 Highway 469 N, Florence, MS 39073-8928 | 2020-06-16 |
| Find all providers with the same taxonomy | ||||
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| 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.