Provider Demographics
NPI:1891212395
Name:SPALKA COUNSELING
Entity Type:Organization
Organization Name:SPALKA COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROCH
Authorized Official - Middle Name:M
Authorized Official - Last Name:SPALKA
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:775-250-3971
Mailing Address - Street 1:1091 CABOOSE CT
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-5812
Mailing Address - Country:US
Mailing Address - Phone:775-250-3971
Mailing Address - Fax:
Practice Address - Street 1:1625 E PRATER WAY STE 103
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-8963
Practice Address - Country:US
Practice Address - Phone:775-331-1527
Practice Address - Fax:775-331-1527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-25
Last Update Date:2017-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)