SPARK COUNSELING CENTER LLC NPI 1942767140

NPI Information

NPI: 1942767140
Provider Name: SPARK COUNSELING CENTER, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3427 WASHINGTON AVE
GULFPORT, MS
ZIP 39507
Phone: (504) 300-9811
Get Directions

SPARK COUNSELING CENTER, LLC is a mental health counselor in Gulfport, MS. SPARK COUNSELING CENTER, LLC NPI is 1942767140. The provider is registered as an organization entity type.

The provider's business location address is:

3427 WASHINGTON AVE
GULFPORT, MS
ZIP 39507-039
Phone: (504) 300-9811
Fax: (800) 416-3070

The provider's authorized official is Mary Dodson .
The authorized official title is Registered Agent/owner and has the following contact phone number (504) 300-9811.

The enumeration date for this NPI number is 2/23/2019 and was last updated on 2/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	101YM0800X	Counselor	Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »