| The Spark Center For Play And Wellness | |
|
340 Lake Jonathan Ln Fairburn GA 30213-3911 | |
| (404) 550-4213 | |
| Not Available |
| Full Name | The Spark Center For Play And Wellness |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 340 Lake Jonathan Ln, Fairburn, Georgia |
| Authorized Official Name and Position | Tranae Harris-bingham (OWNER) |
| Authorized Official Contact | 4045504213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Spark Center For Play And Wellness Po Box 1387 Fairburn GA 30213-8006 Ph: () - | The Spark Center For Play And Wellness 340 Lake Jonathan Ln Fairburn GA 30213-3911 Ph: (404) 550-4213 |
| NPI Number | 1184575144 |
|---|---|
| Provider Enumeration Date | 02/05/2026 |
| Last Update Date | 02/05/2026 |
| Certification Date | 02/05/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184575144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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