National Provider Identifier
Glenda Evelyn Parks, M.S.
Glenda Evelyn Parks, M.S. is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 881-2591.
Profile Overview
- NPI
- 1144302704
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- October 20, 2006
- Last Updated
- July 08, 2007
Practice Location
- 923 Main St
- Buffalo, NY 14203-1121
Phone: (716) 881-2591
Mailing Address
- 66 Custer St
- #120
- Buffalo, NY 14214-1185
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1144302704
- Entity Type
- Individual
- Last Name
- Parks
- First Name
- Glenda
- Middle Name
- Evelyn
- Credential
- M.S.
- Provider Other Last Name
- Harris
- Provider Other First Name
- Glenda
- Provider Other Middle Name
- Evelyn
- Provider Other Credential Text
- B.S.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 66 Custer St
- Mailing Address Line 2
- #120
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-1185
- Mailing Country
- US
- Mailing Phone
- (716) 837-0012
- Practice Street Address
- 923 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1121
- Practice Country
- US
- Practice Phone
- (716) 881-2591
- Practice Fax
- (716) 881-0652
- Enumeration Date
- October 20, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)