Organization
SPARKS HEALING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BITALO ISAAC (CEO/FOUNDER)
(443) 712-6672
Entity
Organization
Contact information
Practice address
104 CHURCH LN STE 120, PIKESVILLE, MD 21208-3786
(410) 709-8072
(410) 559-6510
Mailing address
104 CHURCH LN STE 120, PIKESVILLE, MD 21208-3786
(410) 709-8072
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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