| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GRANT DEVON SPARKS | 1598422883 | 2021-11-21 |
Grant Devon Sparks is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1598422883. Registration indicates Grant Devon Sparks is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Grant Devon Sparks |
| Practice Office Address | 3720 CHAMBLEE DUNWOODY RD STE D2 CHAMBLEE, GA US |
| Practice Office Telephone | 6788029355 |
| Mailing Address | 222 TURNBRIDGE CIR PEACHTREE CITY, GA 302696505 US |
| Business Telephone | 7703122733 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor |