Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carol A. Park, LPC, RD, LD, CEDRED

Individual provider Mental Health Counselor · NPI 1205913845

Carol A. Park, LPC, RD, LD, CEDRED is a Mental Health Counselor in Richardson, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

1702 N Collins Blvd Ste 207
Richardson, TX 75080-3550
Phone: (469) 324-9744
Fax: (972) 591-2943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DT02795 (TX)
Mental Health Counselor Taxonomy 101YM0800X · Licence 66588 (TX)
Professional Counselor Taxonomy 101YP2500X · Licence 66588 (TX)

Record details

NPI number1205913845
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , RD , LD , CEDRED
Sole proprietorYes
NPI enumeratedNovember 1, 2006
Last updated in NPPESAugust 24, 2020
Certification dateAugust 24, 2020

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