Sparks, Sherell Marie

Sparks, Sherell Marie is an individual health care provider with primary practice located at 625 Wham Dr Southern Illinois University Carbondale, Carbondale IL 62901-4313. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Sparks, Sherell Marie can be contacted via phone (618) 536-2122.

Contact Information

Primary practice address
625 Wham Dr Southern Illinois University Carbondale Carbondale IL 62901-4313
Phone: (618) 536-2122
Fax: (618) 453-7178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1538303771
LBN Legal business name Sparks, Sherell Marie
Credentials M.S., CRC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2009
Last updated Nov 26th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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