Provider Demographics
NPI:1265120497
Name:SPROTT HEALTH AND WELLNESS
Entity type:Organization
Organization Name:SPROTT HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPROTT
Authorized Official - Suffix:
Authorized Official - Credentials:MA/LPCC
Authorized Official - Phone:419-407-5498
Mailing Address - Street 1:3450 W CENTRAL AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1418
Mailing Address - Country:US
Mailing Address - Phone:419-407-5498
Mailing Address - Fax:419-407-5097
Practice Address - Street 1:3450 W CENTRAL AVE STE 350
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1418
Practice Address - Country:US
Practice Address - Phone:419-407-5498
Practice Address - Fax:419-407-5097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty