MEDICARE: SPARKS THERAPEUTIC INSIGHTS, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1447187851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPARKS THERAPEUTIC INSIGHTS, LLC

Provider Business Mailing Address
First Line	:	3712 BURNTWOOD DR
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70058-1609
Country	:	US
Telephone Number	:	504-722-6094
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 LAPALCO BLVD STE H1081
Second Line	:
City	:	GRETNA
State	:	LA
Zip	:	70056-7372
Country	:	US
Telephone Number	:	504-233-6865
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	MS. JOANNIE M SPARKS
Credential	:	LCSW
Telephone Number	:	504-722-6094

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/26/2026

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