Provider Demographics
NPI:1124990213
Name:PARKER, CHARLENE LASHELLE (AS,AA,BA,BS)
Entity type:Individual
Prefix:MRS
First Name:CHARLENE
Middle Name:LASHELLE
Last Name:PARKER
Suffix:
Gender:F
Credentials:AS,AA,BA,BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2560 HUNTINGTON AVE STE 402
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22303-1449
Mailing Address - Country:US
Mailing Address - Phone:703-340-7150
Mailing Address - Fax:
Practice Address - Street 1:2560 HUNTINGTON AVE STE 402
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22303-1449
Practice Address - Country:US
Practice Address - Phone:703-340-7150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)