Spark Behavioral Health

LBN: Spark Behavioral Health
Spark Behavioral Health is an health care organization with primary practice located at 12751 County Road 5 Ste 109 , Burnsville MN 55337-2275. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Spark Behavioral Health can be contacted via phone (952) 213-9989, or through Mohamed, Mohamed A via phone (952) 213-9989.

Contact Information

Primary practice address
12751 County Road 5 Ste 109 Burnsville MN 55337-2275
Phone: (952) 213-9989
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mohamed, Mohamed A
Phone: (952) 213-9989

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1114763372
LBN Legal business name Spark Behavioral Health
DBA Doing business as
Authorized official Mohamed, Mohamed A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2024
Last updated Jul 6th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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