Individual
MRS. JACQUELINE B SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, MHA
Contact information
Practice address
249 T. LEIGH DRIVE, HOUMA, LA 70364
(985) 360-6271
Mailing address
249 T. LEIGH DRIVE, HOUMA, LA 70364
(985) 360-6271
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
310400000X
Assisted Living Facility
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/04/2013
Last updated
02/18/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us