Individual ProviderRobin Ibronke ParksCounselorBehavioral Health & Social Service ProvidersPractice Address16507 Governor Bridge Rd, 307, Bowie, MD 20716-3650(703) 638-4913PECOS EnrollmentBased on the most recent information from CMS, provider Robin Ibronke Parks does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1578944682Provider TypeIndividualFull NameParks, Robin IbronkeCredentialMA, NCC, LCPCGenderFemaleSole ProprietorYesEnumeration Date6/15/2015Last Updated8/31/2015Contact InformationPractice LocationPractice Address16507 Governor Bridge Rd, 307, Bowie, MD 20716-3650Phone(703) 638-4913FaxUnlisted FaxMailing LocationMailing Address16507 Governor Bridge Rd, 307, Bowie, MD 20716-3650Phone(703) 638-4913FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLC6539MarylandCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseNCC298949District of Columbia