Provider Demographics
NPI:1912699786
Name:PARKS, ANGELA MONIQUE (LCSWA MSW MA MHFA)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:MONIQUE
Last Name:PARKS
Suffix:
Gender:F
Credentials:LCSWA MSW MA MHFA
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Other - First Name:
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Mailing Address - Street 1:7406 CHAPEL HILL RD STE J
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-5039
Mailing Address - Country:US
Mailing Address - Phone:765-760-2172
Mailing Address - Fax:919-573-0438
Practice Address - Street 1:7406 CHAPEL HILL RD STE J
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-5039
Practice Address - Country:US
Practice Address - Phone:765-760-2172
Practice Address - Fax:919-573-0438
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCP0186581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical