Healthcare Provider Details

I. General information

NPI: 1376452011
Provider Name (Legal Business Name): KARA MABEL SPEARS M.A., NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 S HOWARD AVE
TAMPA FL
33606-3193
US

IV. Provider business mailing address

7741 WAXWOOD DR # A
PORT RICHEY FL
34668-2952
US

V. Phone/Fax

Practice location:
  • Phone: 813-295-2105
  • Fax:
Mailing address:
  • Phone: 727-271-5947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH29312
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: