Provider Demographics
NPI:1275815458
Name:SPARKS, NIKOLYA TRIONNE (LPC, CCTP-II, CAGS)
Entity type:Individual
Prefix:MS
First Name:NIKOLYA
Middle Name:TRIONNE
Last Name:SPARKS
Suffix:
Gender:
Credentials:LPC, CCTP-II, CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NIKOLYA T. SPARKS
Mailing Address - Street 2:2117 VETERANS MEMORIAL BLVD, #141
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-6302
Mailing Address - Country:US
Mailing Address - Phone:504-493-9326
Mailing Address - Fax:888-220-7992
Practice Address - Street 1:4862 FELICIANA DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-4704
Practice Address - Country:US
Practice Address - Phone:504-493-9326
Practice Address - Fax:888-220-7992
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2739101YM0800X
2739101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health