Organization
EAGLES WINGS COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEISHA SPARROW MA, LPC (OWNER)
(856) 298-1367
Entity
Organization
Contact information
Practice address
505 BALSAM RD, CHERRY HILL, NJ 08003-3201
(609) 353-4075
Mailing address
1500 KINGS HWY N, SUITE 207, CHERRY HILL, NJ 08034-2304
(856) 298-1367
(856) 295-2371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
374PC00371200
NJ
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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