Individual
SCOTTYE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
4414 OLD LAGRANGE RD, BUCKNER, KY 40010-9547
(502) 222-2389
(502) 222-2927
Mailing address
PO BOX 1484, CRESTWOOD, KY 40014-1484
(502) 222-2389
(502) 222-2927
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
281849
KY
101YP2500X
Professional Counselor
Primary
281849
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100879980
—
KY
Enumeration date
07/02/2015
Last updated
09/12/2024
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