IndividualActive
Fantasia Parker
NPI 1194547828 · Social Worker · Grand Rapids,, MI
Provider details
- NPI number
- 1194547828
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1115 Ball Ave Ne,
Grand Rapids,, MI 49505
Phone: (616) 456-6571
Approximate (ZIP-level) locationGet directions
Mailing address
650 Lydia Ne
Grand Rapids, MI 49503
Registry dates
- Enumerated
- 2024-10-24
- Last updated
- 2024-10-24
- Certified
- 2024-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.