MR. JESSE SPARKS III L.M.H.C.
NPI 1417180720
Counselor - Mental Health in Winter Park, FL
Active since September 02, 2009
About Mr. Jesse Sparks Iii L.m.h.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JESSE SPARKS III L.M.H.C. (NPI 1417180720) is an individual mental health provider in Winter Park, Florida, licensed in Florida (MH9947) and active in the NPI registry since September 2009.
NPPES Registry Identity
NPI1417180720
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JESSE SPARKS IIICredential: L.M.H.C.
Location Address1345 CLAY STWinter Park, FL 32789-5404
Mailing Address1345 Clay StWinter Park, FL 32789-5404 · (407) 325-5521
Phone(407) 325-5521
Sole ProprietorNo
Enumeration DateSeptember 2, 2009
✔ NPI 1417180720 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH9947
1345 CLAY ST, Winter Park, FL 32789
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychologist (Clinical)
1345 CLAY ST, WINTER PARK ANXIETY CLINIC
WINTER PARK, FL 32789
WINTER PARK, FL 32789
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417180720, enumerated as an "individual" on September 02, 2009.
The provider is located at 1345 CLAY ST WINTER PARK, FL 32789 and the phone number is (407) 325-5521.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
