Individual provider · Type 1 NPI
Wayne Ray Sparks, RPSS
Peer Specialist · Dallas, TX
NPI number
1689465221
Active
Practice location
5151 Maple Ave Ste 4D
Dallas, TX 75235-8136
Mailing address
5151 Maple Ave
Dallas, TX 75235-8136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 1729-0323 (TX) |
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 1689465221
Wayne Ray Sparks, RPSS's National Provider Identifier is 1689465221, issued on May 14, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Dallas, TX. The record was last updated on May 14, 2025.