Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICKEY JOE SPARKS, PHD

Active Sole Proprietor

Mental Health Counselor · BROKEN ARROW, OK

Registration Details

NPI Number: 1184935280
Provider Type: Individual
Gender: Male
NPI Issued: Jun 23, 2010 (15.855793487959 yrs)
Last Updated: Jun 23, 2010
Licenses: 391 (OK)

1588 (OK)
Sole Proprietor: Yes

Practice Information

Address: 904 W SOUTH PARK BLVD

BROKEN ARROW, OK, 740112042
Browse OK providers · Browse ZIP 74011
Phone: 9184552714
Primary Specialty: Mental Health Counselor
101YM0800X
Additional Specialty: Mental Health Counselor

Other Mental Health Counselor Providers in BROKEN ARROW, OK

Name	Credential	NPI
MR. PHILLIP ANTHONY BLACK	M.S.	1326149873
MS. KATHY ANN BILLIPS	MS, LBP	1568533743
LAWRENCE LORAN GILBERT	LPC LADC	1922175850
KELLI LEE KING	LPC, LADC	1497978555
MS. KERRY REBECCA ABBOTT	LPC	1093920795
MRS. MARCIA LABOOTH KEESEE	LPC-S	1861694945

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.