Individual
MR. CHAD AUSTIN SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M ED.
Contact information
Practice address
439 CONGAREE RD STE 18, GREENVILLE, SC 29607-2868
(864) 477-4737
(864) 795-5519
Mailing address
439 CONGAREE RD, BOX 8A, GREENVILLE, SC 29607-2867
(864) 477-4737
(864) 795-5519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11554
SC
101YM0800X
Mental Health Counselor
PC020398
PA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038351500001
—
PA
Enumeration date
11/09/2020
Last updated
05/18/2026
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