Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Spark Change Wellness Center, LLC

Organization Mental Health Counselor · NPI 1992617963

Spark Change Wellness Center, LLC provides Mental Health Counselor services in Gambrills, Maryland. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

331 Gambrills Rd Ste 4B
Gambrills, MD 21054-1141
Phone: (410) 864-0201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1992617963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee Mack — Psychologist · (302) 898-1720
NPI enumeratedSeptember 22, 2026
Last updated in NPPESSeptember 22, 2026
Certification dateSeptember 22, 2026
Mailing address331 Gambrills Rd Ste 4b, Gambrills, MD 21054-1141

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