Organization
SPARKLE PSYCHOLOGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA CHARETTE PSYCHOLOGIST (OWNER)
(478) 888-6023
Entity
Organization
Contact information
Practice address
951 CARL VINSON PKWY STE 109, CENTERVILLE, GA 31028-1419
(478) 888-6023
Mailing address
951 CARL VINSON PKWY STE 109, CENTERVILLE, GA 31028-1419
(478) 888-6023
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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