Provider Demographics
NPI:1578031118
Name:SPARROW COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:SPARROW COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:617-947-8791
Mailing Address - Street 1:18 RAILROAD ST STE 1
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-3570
Mailing Address - Country:US
Mailing Address - Phone:617-947-8791
Mailing Address - Fax:978-824-9475
Practice Address - Street 1:18 RAILROAD ST STE 1
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3570
Practice Address - Country:US
Practice Address - Phone:617-947-8791
Practice Address - Fax:978-824-9475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-12
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0OtherNOT APPLICABLE