Individual provider · Type 1 NPI

Destyny Sparks

Mental Health Counselor · Atlanta, GA

NPI number 1013796598 Active

Practice location

1030 Fayetteville Rd SE
Atlanta, GA 30316-2921

Mailing address

5808 Hackberry Ln
Braselton, GA 30517-5114

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1013796598

Destyny Sparks's National Provider Identifier is 1013796598, issued on Sep 25, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Atlanta, GA. The record was last updated on Sep 25, 2023.