Provider Demographics
NPI:1023340544
Name:HOFFMAN PARRISH, MAKESHA DOYAN (MA,LPC-I)
Entity type:Individual
Prefix:MRS
First Name:MAKESHA
Middle Name:DOYAN
Last Name:HOFFMAN PARRISH
Suffix:
Gender:F
Credentials:MA,LPC-I
Other - Prefix:MRS
Other - First Name:MAKESHA
Other - Middle Name:HOFFMAN
Other - Last Name:PARRISH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA,LPC-I
Mailing Address - Street 1:5501 MEDICAL PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-4624
Mailing Address - Country:US
Mailing Address - Phone:903-793-8588
Mailing Address - Fax:903-793-8589
Practice Address - Street 1:5501 MEDICAL PARKWAY DR
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-4624
Practice Address - Country:US
Practice Address - Phone:903-793-8588
Practice Address - Fax:903-793-8589
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66046101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor