Provider Demographics
NPI:1710272935
Name:YOUCANSPARKLE, LLC
Entity Type:Organization
Organization Name:YOUCANSPARKLE, LLC
Other - Org Name:SPARKLE COUNSELING, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:EILEEN
Authorized Official - Last Name:HOUSER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, CACIII, NCC
Authorized Official - Phone:303-725-1843
Mailing Address - Street 1:2870 N SPEER BLVD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4207
Mailing Address - Country:US
Mailing Address - Phone:303-725-1843
Mailing Address - Fax:
Practice Address - Street 1:2870 N SPEER BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-4207
Practice Address - Country:US
Practice Address - Phone:303-725-1843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5171251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health