Provider Demographics
NPI:1972383180
Name:SPARROW PSYCHIATRY AND WELLNESS PLLC
Entity Type:Organization
Organization Name:SPARROW PSYCHIATRY AND WELLNESS PLLC
Other - Org Name:ELIZABETH HOPE HOLLINGSWORTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:HOPE
Authorized Official - Last Name:HOLLINGSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:540-588-9619
Mailing Address - Street 1:700 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:ANACONDA
Mailing Address - State:MT
Mailing Address - Zip Code:59711-2931
Mailing Address - Country:US
Mailing Address - Phone:540-588-9619
Mailing Address - Fax:
Practice Address - Street 1:118 E 7TH ST # 2CA
Practice Address - Street 2:
Practice Address - City:ANACONDA
Practice Address - State:MT
Practice Address - Zip Code:59711-2900
Practice Address - Country:US
Practice Address - Phone:540-588-9619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty