| Organization Name: | KRIS PARKER & ASSOCIATES |
| NPI Number: | 1013325620 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISTINE D PARKER (OWNER) |
| Mailing Address: | 1950 Se Port St Lucie Blvd Suite 205 Port St Lucie |
| State: | FL US |
| Postal Code: | 349525580 |
| Phone Number: | 7722242125 |
| Fax Number: | 7722242290 |
| NPI Enumeration Date: | 07/27/2014 |
| NPI Last Update Date: | 07/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH11674 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |