| NPI | 1710423157 |
|---|---|
| Doing Business As | THERESA SPENCER LPC |
| Entity Type | Organization |
| Authorized Contact | THERESA SPENCER Owner 210-526-1757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 72387) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 72387) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TX 72387) | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2020-02-22 |