Provider Demographics
NPI:1164063574
Name:SPARROW COUNSELING, LLC
Entity Type:Organization
Organization Name:SPARROW COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:RYE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:734-265-0043
Mailing Address - Street 1:204 E CHURCH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-2953
Mailing Address - Country:US
Mailing Address - Phone:734-265-0043
Mailing Address - Fax:517-759-3908
Practice Address - Street 1:204 E CHURCH ST STE 100
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-2953
Practice Address - Country:US
Practice Address - Phone:734-265-0043
Practice Address - Fax:517-759-3908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty