Organization · Type 2 NPI
Spark Change Wellness Center, LLC
Mental Health Counselor · Gambrills, MD
NPI number
1992617963
Active
Practice location
331 Gambrills Rd Ste 4B
Gambrills, MD 21054-1141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
4 other providers at this address
Other mental health counselor providers in Gambrills
About NPI 1992617963
Spark Change Wellness Center, LLC's National Provider Identifier is 1992617963, issued on Sep 22, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gambrills, MD. The record was last updated on Sep 22, 2026.