Organization
SPARKLY LIFE HEALTH COACHING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIALEE ROY (DIRECTOR)
(302) 540-3870
Entity
Organization
Contact information
Practice address
808 WESTRIDGE DR STE 1, HOCKESSIN, DE 19707-2304
(302) 540-3870
Mailing address
1521 CONCORD PIKE STE 301, WILMINGTON, DE 19803-3644
(302) 540-3870
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103T00000X
Psychologist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
163W00000X
Registered Nurse
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Enumeration date
08/24/2024
Last updated
08/24/2024
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