Provider Demographics
NPI:1124749346
Name:PARKER, MICHAEL DONTEE (LPC-R)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:DONTEE
Last Name:PARKER
Suffix:
Gender:M
Credentials:LPC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 ROLLING ACRES RD
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:VA
Mailing Address - Zip Code:23847-7352
Mailing Address - Country:US
Mailing Address - Phone:434-632-9349
Mailing Address - Fax:
Practice Address - Street 1:765 ROLLING ACRES RD
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:VA
Practice Address - Zip Code:23847-7352
Practice Address - Country:US
Practice Address - Phone:434-632-9349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704013440101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health