Provider Demographics
NPI:1619357449
Name:THOUT, SPARSHA (MED, NCC, LPCC)
Entity Type:Individual
Prefix:
First Name:SPARSHA
Middle Name:
Last Name:THOUT
Suffix:
Gender:F
Credentials:MED, NCC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5117 WITHORN SQ
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-5200
Mailing Address - Country:US
Mailing Address - Phone:502-767-3174
Mailing Address - Fax:
Practice Address - Street 1:106 E JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-1445
Practice Address - Country:US
Practice Address - Phone:502-233-3290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor