Provider Demographics
NPI:1992199111
Name:PARKINS, ROBERT (LMFT)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:PARKINS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 512
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95763-0512
Mailing Address - Country:US
Mailing Address - Phone:916-337-5406
Mailing Address - Fax:
Practice Address - Street 1:5000 WINDPLAY DR STE 3-202
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-9357
Practice Address - Country:US
Practice Address - Phone:916-337-5406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT41545106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist