Provider Demographics
NPI:1417752841
Name:PARRISH, MARILYN EILEEN (LCSW-S)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:EILEEN
Last Name:PARRISH
Suffix:
Gender:
Credentials:LCSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 FOX HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:KRUM
Mailing Address - State:TX
Mailing Address - Zip Code:76249-1516
Mailing Address - Country:US
Mailing Address - Phone:435-237-1673
Mailing Address - Fax:
Practice Address - Street 1:1331 FOX HOLLOW RD
Practice Address - Street 2:
Practice Address - City:KRUM
Practice Address - State:TX
Practice Address - Zip Code:76249-1516
Practice Address - Country:US
Practice Address - Phone:435-237-1673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX666581041C0700X
UT14192125-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical