Organization
THERESA SPENCER LLC
Active
Other names
Theresa Spencer LPC
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA SPENCER LPC, LCDC, LCPC (OWNER)
(210) 526-1757
Entity
Organization
Contact information
Practice address
2008 NW MILITARY HWY STE 4, SAN ANTONIO, TX 78213-2130
(210) 526-1757
(888) 213-8256
Mailing address
7700 BROADWAY ST, SUITE 104-117, SAN ANTONIO, TX 78209-3232
(210) 526-1757
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
72387
TX
261QM0850X
Adult Mental Health Clinic/Center
Primary
72387
TX
261QM0855X
Adolescent and Children Mental Health Clinic/Center
72387
TX
Other
Enumeration date
01/09/2017
Last updated
02/22/2020
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