# INNER SPARK MENTAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588580898
- **Authorized official:** CARLA HILL APRN, PMHNP-BC (OWNER, CEO)
- **Authorized official phone:** (386) 588-5668

## Contact information

- **Practice address:** 26 WATCHTOWER DR, ORMOND BEACH, FL 32176-2886
- **Practice address phone:** (386) 588-5668
- **Practice address fax:** (386) 200-4156
- **Mailing address:** 26 WATCHTOWER DR, ORMOND BEACH, FL 32176-2886
- **Mailing address phone:** (386) 588-5668
- **Mailing address fax:** (386) 200-4156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2026
- **Last updated:** 06/29/2026