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Organization
SPARROW COUNSELING GROUP, LLC
Active
Organization
SPARROW COUNSELING GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA HOLLIDAY LCSW (CO-OWNER)
(317) 464-7515
Entity
Organization
Contact information
Practice address
8710 BASH ST UNIT 501936, INDIANAPOLIS, IN 46250-4078
(317) 464-7515
(317) 983-0863
Mailing address
8710 BASH ST UNIT 501936, INDIANAPOLIS, IN 46250-4078
(317) 464-7515
(317) 983-0863
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508133604
NPPES
IN
01
—
1891168423
NPPES
IN
Enumeration date
01/28/2022
Last updated
12/19/2022
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