| Doctor Name: | MS. LAURA ELIZABETH PARKER |
| NPI Number: | 1124280011 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 003345 |
| Business Practice Address: | 101 Riverstone Vis Suite 201 A Blue Ridge, GA - 305136648 |
| Business Phone Number: | 7702351059 |
| Business Fax Number: | |
| Mailing Address: | 101 Riverstone Medical Campus, Suite 201a BLUE RIDGE |
| State: | GA |
| Postal Code: | 30513 |
| Phone Number: | 7702351059 |
| Fax Number: | |
| NPI Enumeration Date: | 07/01/2008 |
| NPI Last Update Date: | 07/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 003345 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |