Provider Demographics
NPI:1467342147
Name:PARKER-EVANS, MICHELE (NCC)
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:
Last Name:PARKER-EVANS
Suffix:
Gender:F
Credentials:NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4418 MARBLE HALL RD APT 347
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-1541
Mailing Address - Country:US
Mailing Address - Phone:410-340-6229
Mailing Address - Fax:
Practice Address - Street 1:7477 BALTIMORE ANNAPOLIS BLVD STE 201
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-3567
Practice Address - Country:US
Practice Address - Phone:410-340-6229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDCER-166896-V6TOW2101YS0200X
MD101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool