Parks, Laura J

Parks, Laura J is an individual health care provider with primary practice located at 6950 Hillsdale Court , Indianapolis IN 46250-2040. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Parks, Laura J can be contacted via phone (317) 621-7740.

Contact Information

Primary practice address
6950 Hillsdale Court Indianapolis IN 46250-2040
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34000792A Indiana

Profile Details

NPI number 1639143613
LBN Legal business name Parks, Laura J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Nov 24th, 2020 - about 4 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 1639143613 NPPES
Indiana MEDICAID 100270530

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