ERIC DOMINIC PARKS
NPI 1609366350
Counselor - Addiction (Substance Use Disorder) in Texarkana, AR
Active since May 17, 2018
About Eric Dominic Parks NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERIC DOMINIC PARKS (NPI 1609366350) is an individual addiction (substance use disorder) provider in Texarkana, Arkansas and active in the NPI registry since May 2018.
NPPES Registry Identity
NPI1609366350
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameERIC DOMINIC PARKS
Location Address7000 N STATE LINE AVETexarkana, AR 71854-8100
Mailing Address2904 Arkansas BlvdTexarkana, AR 71854-2536 · (870) 773-4655 · Fax (870) 772-4650
Phone(870) 774-1315
Sole ProprietorNo
Enumeration DateMay 17, 2018
✔ NPI 1609366350 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
7000 N STATE LINE AVE, Texarkana, AR 71854
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
7000 N STATE LINE AVE
TEXARKANA, AR 71854
TEXARKANA, AR 71854
Counselor (Addiction (Substance Use Disorder))
7000 N STATE LINE AVE
TEXARKANA, AR 71854
TEXARKANA, AR 71854
Counselor (Addiction (Substance Use Disorder))
7000 N STATE LINE AVE
TEXARKANA, AR 71854
TEXARKANA, AR 71854
Counselor (Addiction (Substance Use Disorder))
7000 N STATE LINE AVE
TEXARKANA, AR 71854
TEXARKANA, AR 71854
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609366350, enumerated as an "individual" on May 17, 2018.
The provider is located at 7000 N STATE LINE AVE TEXARKANA, AR 71854 and the phone number is (870) 774-1315.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).