Breanna Elder Sparrow, LCMHC
Counselor, Professional in Winston Salem, NC. Individual provider (NPI-1).
NPI number1407352016
StatusActive
Last updated in NPPESOct 20, 2022
Details
- NPI
- 1407352016
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Breanna Elder Sparrow
- Credential
- LCMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2018
- Certification date
- Oct 20, 2022
- Last updated
- Oct 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | A13770 | NC | Yes |
Other names
- Breanna Cathleen Sparrow (Former Name)
Practice location
2499 Henning DrWinston Salem, NC 27106-4558
Phone 336-291-7477 · Fax 336-217-8044
Mailing address
259 Azalea DrWinston Salem, NC 27105-1789
Other practice locations
2910 Briarcliffe Rd
Winston Salem, NC 27106-3176
Winston Salem, NC 27106-3176
Phone 336-265-7297
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