Provider Demographics
NPI:1295379436
Name:SPARROW COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:SPARROW COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:WILLIAMS-BENTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:980-230-0638
Mailing Address - Street 1:4115 BUTTERNUT PL
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-8110
Mailing Address - Country:US
Mailing Address - Phone:980-230-0638
Mailing Address - Fax:980-209-6470
Practice Address - Street 1:4115 BUTTERNUT PL
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-8110
Practice Address - Country:US
Practice Address - Phone:980-230-0638
Practice Address - Fax:980-209-6470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty