MR. PARKE GILLETTE BURGESS LMHCA NPI 1356624753

NPI Information

NPI: 1356624753
Provider Name: MR. PARKE GILLETTE BURGESS, LMHCA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3503 N CHEYENNE ST
TACOMA, WA
ZIP 98407
Phone: (253) 304-1411
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MR. Parke Gillette Burgess, LMHCA is a mental health counselor in Tacoma, WA. MR. Parke Gillette Burgess, LMHCA NPI is 1356624753. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3503 N CHEYENNE ST
TACOMA, WA
ZIP 98407-822
Phone: (253) 304-1411

The enumeration date for this NPI number is 9/21/2011 and was last updated on 11/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MC60316533	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1144986886	OTHER		NPPES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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