Provider Demographics
NPI:1386413763
Name:PARSONS, ELENA A (MS, LMHC, LPC)
Entity type:Individual
Prefix:MS
First Name:ELENA
Middle Name:A
Last Name:PARSONS
Suffix:
Gender:F
Credentials:MS, LMHC, LPC
Other - Prefix:MS
Other - First Name:ELENA
Other - Middle Name:A
Other - Last Name:PARSONS-WILSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LMHC
Mailing Address - Street 1:18401 CANARY LN
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-2715
Mailing Address - Country:US
Mailing Address - Phone:727-742-6106
Mailing Address - Fax:
Practice Address - Street 1:18401 CANARY LN
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33558-2715
Practice Address - Country:US
Practice Address - Phone:727-742-6106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3516101YM0800X
ORC2912101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health