| Kris Parker & Associates | |
|
1950 Se Port St Lucie Blvd Suite 205 Port St Lucie FL 34952-5580 | |
| (772) 224-2125 | |
| (772) 224-2290 |
| Full Name | Kris Parker & Associates |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1950 Se Port St Lucie Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Kristine D Parker (OWNER) |
| Authorized Official Contact | 7722242125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kris Parker & Associates 1950 Se Port St Lucie Blvd Suite 205 Port St Lucie FL 34952-5580 Ph: (772) 224-2125 | Kris Parker & Associates 1950 Se Port St Lucie Blvd Suite 205 Port St Lucie FL 34952-5580 Ph: (772) 224-2125 |
| NPI Number | 1013325620 |
|---|---|
| Provider Enumeration Date | 07/27/2014 |
| Last Update Date | 07/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013325620 | NPI | - | NPPES |
| 009285000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH11674 (Florida) | Primary |
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