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Organization
INNER SPARK MENTAL HEALTH LLC
Active
Organization
INNER SPARK MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA HILL APRN, PMHNP-BC (OWNER, CEO)
(386) 588-5668
Entity
Organization
Contact information
Practice address
26 WATCHTOWER DR, ORMOND BEACH, FL 32176-2886
(386) 588-5668
(386) 200-4156
Mailing address
26 WATCHTOWER DR, ORMOND BEACH, FL 32176-2886
(386) 588-5668
(386) 200-4156
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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