Doctor Name: | KELLER PARKER |
NPI Number: | 1063873990 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 2320 E North St Dd-103 Greenville, SC - 296071247 |
Business Phone Number: | 8642396900 |
Business Fax Number: | 8642420700 |
Mailing Address: | 5715 Hewitt Dr, CHARLOTTE |
State: | NC |
Postal Code: | 282693028 |
Phone Number: | 9802504861 |
Fax Number: | 8642420700 |
NPI Enumeration Date: | 03/20/2016 |
NPI Last Update Date: | 03/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |