Provider Demographics
NPI:1942199377
Name:PARKER, LAKISSA ROCHELL (CENTER DIRECTOR)
Entity type:Individual
Prefix:
First Name:LAKISSA
Middle Name:ROCHELL
Last Name:PARKER
Suffix:
Gender:F
Credentials:CENTER DIRECTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 W 18TH ST
Mailing Address - Street 2:LPARKER@ARKIDSPDC.COM
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114
Mailing Address - Country:US
Mailing Address - Phone:501-907-5714
Mailing Address - Fax:
Practice Address - Street 1:1300 W 18TH ST
Practice Address - Street 2:LPARKER@ARKIDSPDC.COM
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114
Practice Address - Country:US
Practice Address - Phone:501-907-5714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist