Healthcare Provider Details

I. General information

NPI: 1013824135
Provider Name (Legal Business Name): ALISSA SPRINKLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 EBENEZER RD
ROCK HILL SC
29732-1014
US

IV. Provider business mailing address

1902 EBENEZER RD
ROCK HILL SC
29732-1014
US

V. Phone/Fax

Practice location:
  • Phone: 980-288-8589
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number9036
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9036
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: