=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447187851
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SPARKS THERAPEUTIC INSIGHTS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/07/2026
-----------------------------------------------------
Last Update Date | 05/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 400 LAPALCO BLVD STE H1081
-----------------------------------------------------
City | GRETNA
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70056-7372
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-233-6865
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3712 BURNTWOOD DR
-----------------------------------------------------
City | HARVEY
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70058-1609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-722-6094
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICAL DIRECTOR
-----------------------------------------------------
Name | MS. JOANNIE M SPARKS
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 504-722-6094
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------