Organization
SPARK COUNSELING AND BEHAVIORAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA HODGES LCMHC (MENTAL HEALTH THERAPIST)
(704) 437-2187
Entity
Organization
Contact information
Practice address
209 RODORET ST N, VALDESE, NC 28690-2335
(704) 437-2187
Mailing address
104 N GREEN ST # 136, MORGANTON, NC 28655-3422
(704) 437-2187
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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