Healthcare Provider Details

I. General information

NPI: 1255477014
Provider Name (Legal Business Name): CATHY FORD SPARKS LPC LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MIDDLE TYGER COMMUNITY CENTER 84 GRACE RD
LYMAN SC
29365
US

IV. Provider business mailing address

2439 SCOTT ST
SPARTANBURG SC
29302
US

V. Phone/Fax

Practice location:
  • Phone: 864-439-7760
  • Fax: 864-439-7034
Mailing address:
  • Phone: 864-582-0073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC2439
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: