Basic Information
| Provider Information | |||||||||
| NPI: | 1861662637 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PARRISH | ||||||||
| FirstName: | VALERY | ||||||||
| MiddleName: | TODD | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1620 HICKORY STREET STE 404 | ||||||||
| Address2: | HIGHLAND RIVERS CSB | ||||||||
| City: | DALTON | ||||||||
| State: | GA | ||||||||
| PostalCode: | 307202312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7062705033 | ||||||||
| FaxNumber: | 7063707749 | ||||||||
| Practice Location | |||||||||
| Address1: | 705 NORTH DIVISION STREET NW | ||||||||
| Address2: | HIGHLAND RIVERS CSB, FLOYD COUNTY, ADULT MENTAL HEALTH | ||||||||
| City: | ROME | ||||||||
| State: | GA | ||||||||
| PostalCode: | 301651454 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7068025437 | ||||||||
| FaxNumber: | 7068025440 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/07/2008 | ||||||||
| LastUpdateDate: | 04/07/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | LPC003930 | GA | N | Behavioral Health & Social Service Providers | Counselor | Professional | 101YP2500X | LPC3930 | GA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.