| Sparkman Counseling Services Llc | |
|
4212 Lennon Rd Flint MI 48507-1080 | |
| (810) 610-1663 | |
| Not Available |
| Full Name | Sparkman Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4212 Lennon Rd, Flint, Michigan |
| Authorized Official Name and Position | Virginia A Sparkman (OWNER) |
| Authorized Official Contact | 8106101663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparkman Counseling Services Llc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Sparkman Counseling Services Llc 4212 Lennon Rd Flint MI 48507-1080 Ph: (810) 610-1663 |
| NPI Number | 1396183000 |
|---|---|
| Provider Enumeration Date | 06/05/2013 |
| Last Update Date | 06/05/2013 |
| Medicare PECOS PAC ID | 2567606957 |
|---|---|
| Medicare Enrollment ID | O20130925000690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396183000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 6801088401 (Michigan) | Primary |
| Provider Name | Virginia A Sparkman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952623357 PECOS PAC ID: 8921279910 Enrollment ID: I20110923000147 |
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