Doctor Name: | MISS CATHY FORD SPARKS |
NPI Number: | 1255477014 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC LMFT |
License Number: | LPC2439 |
Business Practice Address: | Middle Tyger Community Center 84 Grace Rd Lyman, SC - 29365 |
Business Phone Number: | 8644397760 |
Business Fax Number: | 8644397034 |
Mailing Address: | 2439 Scott St, SPARTANBURG |
State: | SC |
Postal Code: | 29302 |
Phone Number: | 8645820073 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC2439 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |