Organization
SPARTAN PSYCHOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA SPARTA FARMER LCMHCA, NCC (OWNER)
(919) 257-9416
Entity
Organization
Contact information
Practice address
45 HOLDING YOUNG RD, YOUNGSVILLE, NC 27596-9254
(919) 257-9416
Mailing address
45 HOLDING YOUNG RD, YOUNGSVILLE, NC 27596-9254
(919) 257-9416
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/22/2023
Last updated
08/23/2023
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