Organization
THERESA SPENCER LLC
Active
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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