MR. ISRAEL JEROME PARKER V
NPI 1659610103
Counselor - Addiction (Substance Use Disorder) in Sumter, SC
Active since February 04, 2013
About Mr. Israel Jerome Parker V NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ISRAEL JEROME PARKER V (NPI 1659610103) is an individual addiction (substance use disorder) provider in Sumter, South Carolina, licensed in South Carolina (13011713) and active in the NPI registry since February 2013.
NPPES Registry Identity
NPI1659610103
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. ISRAEL JEROME PARKER V
Location Address115 N HARVIN STSumter, SC 29150-4956
Mailing Address115 N Harvin StSumter, SC 29150-4956 · (803) 775-6815 · Fax (803) 773-6232
Phone(803) 775-6815
Fax(803) 773-6232
Sole ProprietorNo
Enumeration DateFebruary 4, 2013
✔ NPI 1659610103 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
License✔ Licensed in SC · 13011713
115 N HARVIN ST, Sumter, SC 29150
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
115 N HARVIN ST
SUMTER, SC 29150
SUMTER, SC 29150
Counselor (Addiction (Substance Use Disorder))
115 N HARVIN ST
SUMTER, SC 29150
SUMTER, SC 29150
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659610103, enumerated as an "individual" on February 04, 2013.
The provider is located at 115 N HARVIN ST SUMTER, SC 29150 and the phone number is (803) 775-6815.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
