Parks, Fayth Margaret

Parks, Fayth Margaret is an sole proprietor health care provider with primary practice located at 609 N Kevin Ct , Statesboro GA 30461-2742. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Parks, Fayth Margaret can be contacted via phone (803) 397-7578.

Contact Information

Primary practice address
609 N Kevin Ct Statesboro GA 30461-2742
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 783 South Carolina

Profile Details

NPI number 1013049881
LBN Legal business name Parks, Fayth Margaret
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013049881 NPPES
South Carolina MEDICAID PS0326

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