| Sparkz Therapy LLC | |
|
7705 Santo Tomas Ct Nw Albuquerque NM 87120-3621 | |
| (505) 414-4480 | |
| Not Available |
| Full Name | Sparkz Therapy LLC |
|---|---|
| Speciality | Social Worker |
| Location | 7705 Santo Tomas Ct Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Samantha Parker-zillich (OWNER) |
| Authorized Official Contact | 5052262232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparkz Therapy LLC 7705 Santo Tomas Ct Nw Albuquerque NM 87120-3621 | Sparkz Therapy LLC 7705 Santo Tomas Ct Nw Albuquerque NM 87120-3621 Ph: (505) 414-4480 |
| NPI Number | 1740136126 |
|---|---|
| Provider Enumeration Date | 03/07/2026 |
| Last Update Date | 05/20/2026 |
| Certification Date | 05/20/2026 |
| Medicare PECOS PAC ID | 6305320508 |
|---|---|
| Medicare Enrollment ID | O20260325000772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740136126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Samantha Parker Zillich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710402680 PECOS PAC ID: 9638567480 Enrollment ID: I20211027001063 |
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