# PM SPENCER PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174264600
- **Authorized official:** MS. PRECIOUS MONIQUE SPENCER APRN, PMHNP-BC (OWNER)
- **Authorized official phone:** (800) 696-7024

## Contact information

- **Practice address:** 1420 CELEBRATION BLVD STE 200, CELEBRATION, FL 34747-5162
- **Practice address phone:** (407) 676-4276
- **Practice address fax:** (888) 684-2566
- **Mailing address:** 106 HIDDEN PALMS CT, DAVENPORT, FL 33897-8412
- **Mailing address phone:** (810) 406-8856
- **Mailing address fax:** (888) 684-2566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2022
- **Last updated:** 04/24/2025
