Healthcare Provider Details

I. General information

NPI: 1619357449
Provider Name (Legal Business Name): SPARSHA THOUT M.ED., NCC, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2015
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 HOPE ST
MT WASHINGTON KY
40047-7772
US

IV. Provider business mailing address

5117 WITHORN SQ
LOUISVILLE KY
40241-5200
US

V. Phone/Fax

Practice location:
  • Phone: 502-904-9214
  • Fax:
Mailing address:
  • Phone: 502-767-3174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: