# SPARKER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Meta Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134287857
- **Authorized official:** TYLER BLAYLOCK (OFFICE MANAGER)
- **Authorized official phone:** (606) 631-1222

## Contact information

- **Practice address:** 8857 META HWY, META MEDICAL CENTER, PIKEVILLE, KY 41501
- **Practice address phone:** (606) 631-1222
- **Practice address fax:** (606) 631-1226
- **Mailing address:** 8857 META HWY, META MEDICAL CENTER, PIKEVILLE, KY 41501
- **Mailing address phone:** (606) 631-1222
- **Mailing address fax:** (606) 631-1226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 03/17/2022