Provider Demographics
NPI:1053878330
Name:DENISE PARKER-TIMMS, LSCSW
Entity type:Organization
Organization Name:DENISE PARKER-TIMMS, LSCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:K
Authorized Official - Last Name:PARKER-TIMMS
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:785-218-3022
Mailing Address - Street 1:708 W 9TH ST STE 212
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-2846
Mailing Address - Country:US
Mailing Address - Phone:785-218-3022
Mailing Address - Fax:
Practice Address - Street 1:708 W 9TH ST STE 212
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-2846
Practice Address - Country:US
Practice Address - Phone:785-218-3022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-22
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty