MR. BRODERICK PARKER MHPP
NPI 1154538932
Counselor - Mental Health in Little Rock, AR
Active since May 17, 2007
20400 COL. GLENN RD., LITTLE ROCK, AR 72210(501) 821-5500(501) 821-7068 Get Directions Write a Review
About Mr. Broderick Parker Mhpp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BRODERICK PARKER MHPP (NPI 1154538932) is an individual mental health provider in Little Rock, Arkansas and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1154538932
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BRODERICK PARKERCredential: MHPP
Location Address20400 COL. GLENN RD.Little Rock, AR 72210-5323
Mailing Address20400 Col.glenn Rd.Little Rock, AR 72210-5323 · (501) 821-5500 · Fax (501) 821-7068
Phone(501) 821-5500
Fax(501) 821-7068
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateSeptember 13, 2010
✔ NPI 1154538932 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
20400 COL. GLENN RD., Little Rock, AR 72210
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154538932, enumerated as an "individual" on May 17, 2007.
The provider is located at 20400 COL. GLENN RD. LITTLE ROCK, AR 72210 and the phone number is (501) 821-5500.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
