Individual
MISS NELLIE RENA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR SHAPING SPE
Contact information
Practice address
242 W. SHAMROCK STREET, PINEVILLE, LA 71360
(318) 484-6850
(318) 484-6232
Mailing address
2811 SABINE DR, ALEXANDRIA, LA 71303-4321
(318) 445-1874
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7520
LA
174400000X
Specialist
Primary
7520
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7520
BEHAVIOR SHAPING SPECIALI
LA
Enumeration date
02/08/2007
Last updated
09/11/2025
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