| Sparkle L Nicks, | |
|
10508 Churchill Dr, Peoria, IL 61615-1178 | |
| (309) 706-3676 | |
| Not Available |
| Full Name | Sparkle L Nicks |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 10508 Churchill Dr, Peoria, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124627005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sparkle L Nicks, 2610 W Richwoods Blvd, Peoria, IL 61604-7112 Ph: (309) 323-6648 | Sparkle L Nicks, 10508 Churchill Dr, Peoria, IL 61615-1178 Ph: (309) 706-3676 |
Mr. Ryan Gerald Potempa, MS, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 7617 N Villa Wood Ln, Peoria, IL 61614 Phone: 309-693-8200 | |
Hannah Dobson, MA,AMFT, QMHP Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7210 N Villa Lake Dr Ste C, Peoria, IL 61614 Phone: 309-713-1485 | |
Jennifer Labanowski, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 706 E Forrest Hill Ave, Peoria, IL 61603 Phone: 262-389-0656 Fax: 888-717-3028 | |
Diogenes Leslie Perera, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8801 N University St, Peoria, IL 61615 Phone: 309-676-0538 | |
Tenneille Ely, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3716 W Brighton Ave, Peoria, IL 61615 Phone: 309-692-7755 | |
Zoe Louise Solomon, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2000 W Pioneer Pkwy Ste 20, Peoria, IL 61615 Phone: 309-750-0119 |