Provider Demographics
NPI:1578386082
Name:PARMENTER, MEGHAN
Entity type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:
Last Name:PARMENTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 S COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-0451
Mailing Address - Country:US
Mailing Address - Phone:704-214-5934
Mailing Address - Fax:
Practice Address - Street 1:305 S COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-0451
Practice Address - Country:US
Practice Address - Phone:704-214-5934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health