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Organization
SPARK COUNSELING AND BEHAVIORAL SERVICES PLLC
Active
Organization
SPARK COUNSELING AND BEHAVIORAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA HODGES LCMHC (MENTAL HEALTH THERAPIST)
(704) 437-2187
Entity
Organization
Contact information
Practice address
209 RODORET ST N, VALDESE, NC 28690-2335
(704) 437-2187
Mailing address
104 N GREEN ST # 136, MORGANTON, NC 28655-3422
(704) 437-2187
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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