Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spark Integrative Wellness, PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1053121574

Spark Integrative Wellness, PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Johnson City, Tennessee. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2700 S Roan St Ste 300A
Johnson City, TN 37601-7556
Phone: (423) 722-2422
Fax: (423) 722-2400
Show map & directions

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

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1053121574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Judy — Pmhnp · (423) 491-9146
NPI enumeratedJanuary 8, 2025
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025
Mailing address2700 S Roan St Ste 300a, Johnson City, TN 37601-7556

Other providers in Johnson City