Provider Demographics
NPI:1013809029
Name:SPARKS OF STRENGTH THERAPY
Entity type:Organization
Organization Name:SPARKS OF STRENGTH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSARIO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-737-4527
Mailing Address - Street 1:733 3RD AVENUE
Mailing Address - Street 2:16TH FLOOR SUITE 1068
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-3204
Mailing Address - Country:US
Mailing Address - Phone:917-737-4527
Mailing Address - Fax:718-255-9920
Practice Address - Street 1:733 3RD AVENUE
Practice Address - Street 2:16TH FLOOR SUITE 1068
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-3204
Practice Address - Country:US
Practice Address - Phone:917-737-4527
Practice Address - Fax:718-255-9920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty