Organization · Type 2 NPI

Spark Counseling Center, LLC

Mental Health Counselor · Gulfport, MS

NPI number 1942767140 Active

Practice location

3427 Washington Ave
Gulfport, MS 39507-3039

Call (504) 300-9811 Map

Fax (800) 416-3070

Mailing address

PO Box 2937
Gulfport, MS 39505-2937

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1942767140

Spark Counseling Center, LLC's National Provider Identifier is 1942767140, issued on Feb 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gulfport, MS. The record was last updated on Feb 23, 2019.