Individual provider · Type 1 NPI

Stephanie Sparks

Peer Specialist · Carlsbad, NM

NPI number 1003643552 Active

Practice location

1900 Westridge Rd
Carlsbad, NM 88220-3550

Call (575) 725-5552 Map

Fax (575) 725-5552

Mailing address

PO Box 3141
Carlsbad, NM 88221-3141

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X1803 (NM)
Case Manager/Care Coordinator 171M00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1003643552

Stephanie Sparks's National Provider Identifier is 1003643552, issued on Sep 18, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Carlsbad, NM. The record was last updated on Jan 23, 2025.