| Spark Wellness | |
|
2988 George Washington Memorial Hwy Hayes VA 23072-3429 | |
| (757) 752-3839 | |
| Not Available |
| Full Name | Spark Wellness |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2988 George Washington Memorial Hwy, Hayes, Virginia |
| Authorized Official Name and Position | Abiodun Badamosi (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7577523839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Wellness 2988 George Washington Memorial Hwy Hayes VA 23072-3429 Ph: (757) 752-3839 | Spark Wellness 2988 George Washington Memorial Hwy Hayes VA 23072-3429 Ph: (757) 752-3839 |
| NPI Number | 1578378584 |
|---|---|
| Provider Enumeration Date | 02/08/2025 |
| Last Update Date | 02/08/2025 |
| Certification Date | 02/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578378584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Primary |
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