SHERELL MARIE SPARKS M.S. CRC NPI 1538303771

NPI Information

NPI: 1538303771
Provider Name: SHERELL MARIE SPARKS, M.S., CRC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
625 WHAM DR
SOUTHERN ILLINOIS UNIVERSITY CARBONDALE
CARBONDALE, IL
ZIP 62901
Phone: (618) 536-2122
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Sherell Marie Sparks, M.S., CRC is a mental health counselor in Carbondale, IL. Sherell Marie Sparks, M.S., CRC NPI is 1538303771. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

625 WHAM DR
SOUTHERN ILLINOIS UNIVERSITY CARBONDALE
CARBONDALE, IL
ZIP 62901-313
Phone: (618) 536-2122
Fax: (618) 453-7178

The enumeration date for this NPI number is 4/30/2009 and was last updated on 11/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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