Sparks, Amanda Leah

Sparks, Amanda Leah is an individual health care provider with primary practice located at 411 Court St , Portsmouth OH 45662. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Sparks, Amanda Leah can be contacted via phone (740) 354-6685.

Contact Information

Primary practice address
411 Court St Portsmouth OH 45662
Phone: (740) 354-6685
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 166698 Kentucky
Behavioral Health & Social Service Providers / Counselor 101Y00000X C.1902344 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X QMHS
Other Service Providers / Case Manager/Care Coordinator 171M00000X CMS Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.20011683 Ohio

Profile Details

NPI number 1699163816
LBN Legal business name Sparks, Amanda Leah
Credentials LSW, NCC, LPCA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2014
Last updated Sep 9th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699163816 NPPES
Ohio MEDICAID 0375975

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