Provider Demographics
NPI:1215323928
Name:PARNELL, JAMIE (MHC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:PARNELL
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 E BROADWAY
Mailing Address - Street 2:APT 7N
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-4446
Mailing Address - Country:US
Mailing Address - Phone:516-244-5045
Mailing Address - Fax:
Practice Address - Street 1:410 E BROADWAY
Practice Address - Street 2:APT 7N
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-4446
Practice Address - Country:US
Practice Address - Phone:516-244-5045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health