Basic Information
Provider Information
NPI: 1164691234
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARNACHER
FirstName: CARLA
MiddleName: D
NamePrefix:  
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: RESOURCE MANAGEMENT
Address2: 1300 HOPPE BLVD., SUITE 1
City: ADA
State: OK
PostalCode: 74820
CountryCode: US
TelephoneNumber: 5804367211
FaxNumber: 5802725757
Practice Location
Address1: 1726 N GREEN AVE OUTPATIENT SERVICES- PURCELL
Address2: STRONG FAMILY DEVELOPMENT
City: NORMAN
State: OK
PostalCode: 73080
CountryCode: US
TelephoneNumber: 4057678940
FaxNumber: 4057678950
Other Information
ProviderEnumerationDate: 02/22/2008
LastUpdateDate: 09/19/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  Y Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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