Provider Demographics
NPI:1750903498
Name:2 SPARROWS COUNSELING
Entity type:Organization
Organization Name:2 SPARROWS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MOLNAR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:210-833-3359
Mailing Address - Street 1:6215 BROADMEADOW
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-2261
Mailing Address - Country:US
Mailing Address - Phone:210-833-3359
Mailing Address - Fax:
Practice Address - Street 1:909 LINWAY DR STE 5
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-2435
Practice Address - Country:US
Practice Address - Phone:210-833-3359
Practice Address - Fax:574-971-5383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-16
Last Update Date:2020-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1477022549OtherNPI