Provider Demographics
NPI:1063518736
Name:PARSONS, KELLY (MA, LCMHC)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:
Last Name:PARSONS
Suffix:
Gender:F
Credentials:MA, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 ROCKINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-2103
Mailing Address - Country:US
Mailing Address - Phone:603-296-4087
Mailing Address - Fax:603-296-4089
Practice Address - Street 1:302 ROCKINGHAM RD
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-2103
Practice Address - Country:US
Practice Address - Phone:603-296-4087
Practice Address - Fax:603-296-4089
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH546101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30422969Medicaid
NH14Y001735NH01OtherBLUE CROSS BLUE SHIELD NH