Individual
HALLEY RENEE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2901 PIGEON ROOST RD, RUSH, KY 41168-8132
(606) 928-6648
(606) 928-1056
Mailing address
2901 PIGEON ROOST RD, RUSH, KY 41168-8132
(606) 928-6648
(606) 928-1056
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW00001618
KY
Other
Enumeration date
07/22/2021
Last updated
07/07/2026
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