Basic Information
| Provider Information | |||||||||
| NPI: | 1639509805 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SPARHUBER | ||||||||
| FirstName: | BRIANNA | ||||||||
| MiddleName: | MICHELLE | ||||||||
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| Credential: | M.S., N.C.C., LMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 175 HUMBOLDT ST | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146101059 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5854103370 | ||||||||
| FaxNumber: | 5859787217 | ||||||||
| Practice Location | |||||||||
| Address1: | 175 HUMBOLDT ST | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146101059 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5854103370 | ||||||||
| FaxNumber: | 5859787217 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/25/2013 | ||||||||
| LastUpdateDate: | 10/27/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 006825 | NY | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.