LATASHA J SPENCER (NPI# 1003469644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003469644 |
| Entity Type | Individual |
| Full Name | LATASHA J SPENCER |
| Credential | LLPC |
| Practice Address |
30701 Woodward Ave Ste 200 Royal Oak MI 48073-0990 |
| Practice Telephone | 2482889333 |
| Practice Fax Number | 2482881362 |
| Mailing Telephone | 2482889333 |
| Mailing Fax Number | 2482881362 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401017425 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659635753 | Latasha L Spencer | Home Health Aide | 829 50th Place Ne, Washington, DC 20019 | 2012-07-03 |
| 1508238791 | Latasha Spencer | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2015-10-27 |
| Street Address |
30701 WOODWARD AVE STE 200 |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-0990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093821597 | Daniel Charles Stettner Lp | Psychologist | 30701 Woodward Ave Ste 200, Royal Oak, MI 48073 | 2006-08-21 |
| 1316595135 | Mary Nicoletti | Social Worker | 30701 Woodward Ave Ste 200, Royal Oak, MI 48073-0990 | 2019-08-27 |
| 1326497991 | Kelli Marie Waters | Social Worker | 30701 Woodward Ave Ste 200, Royal Oak, MI 48073-0990 | 2016-06-06 |
| 1568833614 | Matthew Govier | Counselor | 30701 Woodward Ave Ste 200, Royal Oak, MI 48073-0990 | 2015-10-15 |
| 1467893966 | Peter Howell | Social Worker | 30701 Woodward Ave Ste 200, Royal Oak, MI 48073-0990 | 2013-07-12 |
| 1205116639 | Sherry Ann Smith | Psychologist | 30701 Woodward Ave Ste 200, Royal Oak, MI 48073-0990 | 2011-08-16 |
| 1730486713 | Franchesta Merritt Wilson | Counselor | 30701 Woodward Ave Ste 200, Royal Oak, MI 48073-0990 | 2011-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700494721 | Living Water Forever, Pllc | Counselor | 1710 E 12 Mile Rd Ste 101, Royal Oak, MI 48073-4200 | 2020-07-15 |
| 1255958450 | Andrea Sandles | Counselor | 1500 N Stephenson Hwy Ste 240, Royal Oak, MI 48067-1584 | 2020-07-03 |
| 1861025249 | Erica Renee Carulli | Counselor | 1923 Ardmore Ave, Royal Oak, MI 48073-4179 | 2020-02-13 |
| 1003344565 | Alison Christine Maples | Counselor | 3315 N Campbell Rd Ste 200, Royal Oak, MI 48073-2803 | 2017-05-30 |
| 1770919359 | Jennifer Lauren Hurley | Counselor | 824 W 13 Mile Rd, Royal Oak, MI 48073-2463 | 2013-09-16 |
| 1740408244 | Ascension Eastwood Behavioral Health | Counselor | 30701 Woodward Avenue, Suite 200, Royal Oak, MI 48073-0987 | 2007-04-23 |
| 1972135549 | Elisabeth Lauren Rzepkowski | Counselor | 1424 E 11 Mile Rd, Royal Oak, MI 48067-2026 | 2020-02-11 |
| 1114579208 | Monique Jackson | Counselor | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-07-10 |
| 1811456734 | Brenda Basel Brikho | Counselor | 30701 Woodward Ave, Royal Oak, MI 48073-0987 | 2019-03-19 |
| 1285125823 | Maples Creative Counseling LLC | Counselor | 3315 N Campbell Rd Ste 200, Royal Oak, MI 48073-2803 | 2018-05-18 |
| Find all providers in ROYAL OAK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.