MEDICARE: SPARROW COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1104579705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPARROW COUNSELING

Provider Business Mailing Address
First Line	:	2917 CENTRAL AVE STE 305
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-2576
Country	:	US
Telephone Number	:	205-538-3978
Fax Number	:

Provider Business Practice Location Address
First Line	:	2917 CENTRAL AVE STE 305
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-2576
Country	:	US
Telephone Number	:	205-538-3978
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SARA DUNGAN
Credential	:	LPC, LMFT
Telephone Number	:	205-538-3978

Provider Enumeration Date	:	02/02/2022
Last Update Date	:	02/04/2022

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