SPARKWELL MENTAL HEALTH SERVICES LLC NPI 1699464792

NPI Information

NPI: 1699464792
Provider Name: SPARKWELL MENTAL HEALTH SERVICES LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
911 MCINTIRE ST
BOULDER, CO
ZIP 80303
Phone: (901) 828-9799
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SPARKWELL MENTAL HEALTH SERVICES LLC is a psychiatric/mental health nurse practitioner in Boulder, CO. SPARKWELL MENTAL HEALTH SERVICES LLC NPI is 1699464792. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

911 MCINTIRE ST
BOULDER, CO
ZIP 80303-724
Phone: (901) 828-9799

The provider's authorized official is Laura Callan .
The authorized official title is Owner and has the following contact phone number (901) 828-9799.

The enumeration date for this NPI number is 5/4/2023 and was last updated on 5/4/2023.

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	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/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: 5/5/2024

NPI Synchronization or Removal

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