Healthcare Provider Details

I. General information

NPI: 1164475927
Provider Name (Legal Business Name): LINDA S SPENCER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 04/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 BEARCAT BLVD
HENDERSONVILLE NC
28791-3622
US

IV. Provider business mailing address

PO BOX 1075
SALUDA NC
28773-1075
US

V. Phone/Fax

Practice location:
  • Phone: 828-699-1009
  • Fax: 828-696-1538
Mailing address:
  • Phone: 828-699-1009
  • Fax: 828-696-1538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3093
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3064
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: