Soul Spark Counseling, LLC
NPI #1407632334 in Farmington, Arkansas
Provider Information
- NPI Number
- 1407632334
- Entity Type
- Organization
- Organization Name
- Soul Spark Counseling, LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 6, 2023
- Last Updated
- Sep 6, 2023
Practice Location
- Address
- 128 SOUTHWINDS RD
- City
- Farmington
- State
- Arkansas
- ZIP Code
- 72730-8678
- Phone
- (479) 222-1156
Authorized Official
- Name
- MS. TESSA RENEE VANDERHORN, LAC
- Title
- INCORPORATOR/ORGANIZER
- Phone
- (509) 306-1102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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