| Michele Sparks, MS/LPCC | |
|
106 N Murray Hill Rd, Columbus, OH 43228-1524 | |
| (614) 710-1496 | |
| Not Available |
| Full Name | Michele Sparks |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 106 N Murray Hill Rd, Columbus, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689057812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E-0002792 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | E-0002792 (Ohio) | Primary |
| Entity Name | Lighthouse Behavioral Health Solutions, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629560230 PECOS PAC ID: 4486089893 Enrollment ID: O20200113001896 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Sparks, MS/LPCC 3974 Brown Park Dr Ste A, Hilliard, OH 43026-1168 Ph: (614) 353-4157 | Michele Sparks, MS/LPCC 106 N Murray Hill Rd, Columbus, OH 43228-1524 Ph: (614) 710-1496 |
Mr. Daryush Parvinbenam, PCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 287 W Johnstown Rd, Columbus, OH 43230 Phone: 614-305-5102 Fax: 614-383-7786 | |
Molly Marie Fields, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 Bethel Rd, Columbus, OH 43220 Phone: 614-459-9022 Fax: 614-451-3017 | |
Mr. Lucas Alan Hawkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Butterfly Gardens Dr, Columbus, OH 43215 Phone: 614-938-0350 Fax: 614-938-0170 | |
Ms. Katherine Anne Risinger, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Butterfly Gardens Dr, Columbus, OH 43215 Phone: 614-355-8550 Fax: 614-355-8593 | |
Tracie Lynn Keller, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1080 Fishinger Rd, Suite 103, Columbus, OH 43221 Phone: 614-822-7819 Fax: 614-372-5590 | |
Jennifer R Williams, PCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 N High St, Columbus, OH 43201 Phone: 614-227-6865 Fax: 614-227-6873 | |
Heather Russo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Butterfly Gardens Dr, Columbus, OH 43215 Phone: 614-355-8695 Fax: 614-355-7855 |