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Organization
SPARK VERSATILITY COLLECTIVE LLC
Active
Organization
SPARK VERSATILITY COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE DAVID LPC (MENTAL HEALTH CLINICIAN)
(347) 815-5866
Entity
Organization
Contact information
Practice address
1930 MARLTON PIKE E STE H41, CHERRY HILL, NJ 08003-2153
(347) 815-5866
Mailing address
1930 MARLTON PIKE E STE H41, CHERRY HILL, NJ 08003-2153
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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