Organization
SPARK COUNSELING & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRE CARR (CEO/THERAPIST)
(205) 291-8686
Entity
Organization
Contact information
Practice address
310 LORNA SQ, VESTAVIA HILLS, AL 35216-5479
(205) 291-8686
(205) 224-9471
Mailing address
6614 RIME VLG E, VESTAVIA HILLS, AL 35216-6180
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
06/14/2019
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