Healthcare Provider Details

I. General information

NPI: 1396183000
Provider Name (Legal Business Name): SPARKMAN COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2013
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2483 S LINDEN RD STE 60
FLINT MI
48532-5477
US

IV. Provider business mailing address

PO BOX 10
MASON MI
48854-0010
US

V. Phone/Fax

Practice location:
  • Phone: 810-202-1633
  • Fax:
Mailing address:
  • Phone: 517-676-9788
  • Fax: 517-676-3438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801088401
License Number StateMI

VIII. Authorized Official

Name: VIRGINIA ANN SPARKMAN
Title or Position: OWNER
Credential:
Phone: 810-610-1663