Healthcare Provider Details

I. General information

NPI: 1174348726
Provider Name (Legal Business Name): LENAIR MARIE SPARKS LPC/MHSP (T)
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4317 LONG LN
FRANKLIN TN
37064-7206
US

IV. Provider business mailing address

105 ROSE HILL CT
FRANKLIN TN
37069-1855
US

V. Phone/Fax

Practice location:
  • Phone: 615-591-5262
  • Fax:
Mailing address:
  • Phone: 615-495-2698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7075
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: