Organization
SPARKFIT COMMUNITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN MCCRACKEN LPC (OWNER)
(501) 428-3217
Entity
Organization
Contact information
Practice address
1202 MAIN ST STE 204, LITTLE ROCK, AR 72202-5057
(501) 428-3217
Mailing address
1324B MAIN ST, LITTLE ROCK, AR 72202-5034
(501) 400-8682
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
04/26/2019
Last updated
08/05/2024
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