IndividualActive
Alexis Sparks, MA, LCPC
NPI 1376279943 · Mental Health Counselor · Carbondale, IL
Provider details
- NPI number
- 1376279943
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LCPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 180.014593 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2311 S Illinois Ave
Carbondale, IL 62903-5912
Phone: (618) 457-6703
Fax: (618) 956-9349
Approximate (ZIP-level) locationGet directions
Mailing address
902 W Main St
West Frankfort, IL 62896-2210
Registry dates
- Enumerated
- 2022-07-26
- Last updated
- 2022-09-27
- Certified
- 2022-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.