MEDICAL SPARK
NPI 1790089324
Community/Behavioral Health in Jackson, MS

Active since December 22, 2010
2906 N STATE ST, JACKSON, MS 39216(601) 594-7107 Get Directions Write a Review

NPPES record last updated: December 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medical Spark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL SPARK (NPI 1790089324) is a healthcare organization registered as a community/behavioral health in Jackson, Mississippi and active in the NPI registry since December 2010. The organization lists Chip Slack, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790089324
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameE -HEALTH VENTURES, LLC
Location Address2906 N STATE STJackson, MS 39216-4233
Mailing Address2906 N State StJackson, MS 39216-4233 · (601) 594-7107
Organization SubpartNo
Authorized OfficialChip SlackCeo · (601) 594-7107
Enumeration DateDecember 22, 2010
NPI 1790089324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2906 N STATE ST, Jackson, MS 39216

Other Names 1

Doing Business AsMedical Spark

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
2906 N STATE ST, STE 301
JACKSON, MS 39216
Massage Therapist
2906 N STATE ST, B4
JACKSON, MS 39216
Counselor (Professional)
2906 N STATE ST, SUITE 300
JACKSON, MS 39216
Psychiatry & Neurology (Psychiatry)
2906 N STATE ST
JACKSON, MS 39216
Counselor (Mental Health)
2906 N STATE ST, SUITE 204
JACKSON, MS 39216
Counselor (Mental Health)
2906 N STATE ST, SUITE 300
JACKSON, MS 39216
Counselor (Professional)
2906 N STATE ST, SUITE 204
JACKSON, MS 39216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is E -Health Ventures, LLC's NPI number?

The NPI number for E -Health Ventures, LLC is 1790089324. It was assigned to this organization in the NPPES registry on December 22, 2010. The provider is doing business as Medical Spark.

Where is E -Health Ventures, LLC located?

E -Health Ventures, LLC is located at 2906 N State St, Jackson, MS 39216. The listed phone number is (601) 594-7107.

What is E -Health Ventures, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for E -Health Ventures, LLC was last updated on December 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.