Organization
SPARKER, INC.
Active
Other names
Meta Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER BLAYLOCK (OFFICE MANAGER)
(606) 631-1222
Entity
Organization
Contact information
Practice address
8857 META HWY, META MEDICAL CENTER, PIKEVILLE, KY 41501
(606) 631-1222
(606) 631-1226
Mailing address
8857 META HWY, META MEDICAL CENTER, PIKEVILLE, KY 41501
(606) 631-1222
(606) 631-1226
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65942773
—
KY
Enumeration date
12/05/2006
Last updated
03/17/2022
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