Spark Counseling Center, Llc

LBN: Spark Counseling Center, Llc
Spark Counseling Center, Llc is an health care organization with primary practice located at 3427 Washington Ave , Gulfport MS 39507-3039. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Spark Counseling Center, Llc can be contacted via phone (504) 300-9811, or through Dodson, Mary via phone (504) 300-9811.

Contact Information

Primary practice address
3427 Washington Ave Gulfport MS 39507-3039
Phone: (504) 300-9811
Fax: (800) 416-3070
Website:
Map and Directions
Authorized official contact:
Name: Dodson, Mary LMFT
Phone: (504) 300-9811

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1942767140
LBN Legal business name Spark Counseling Center, Llc
DBA Doing business as
Authorized official Dodson, Mary LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2019
Last updated Feb 23rd, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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