Healthcare Provider Details

I. General information

NPI: 1275815458
Provider Name (Legal Business Name): NIKOLYA TRIONNE SPARKS LPC, CCTP-II, CAGCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2011
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4862 FELICIANA DR VIRTUAL/TELEMENTAL HEALTH SERVICES ONLY
NEW ORLEANS LA
70126-4704
US

IV. Provider business mailing address

2117 VETERANS MEMORIAL BLVD # 141 SPARKS COUNSELING SERVICES, LLC
METAIRIE LA
70002-6321
US

V. Phone/Fax

Practice location:
  • Phone: 504-493-9326
  • Fax: 888-220-7992
Mailing address:
  • Phone: 504-493-9326
  • Fax: 888-220-7992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2739
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2739
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: