MEDICARE: SPENCER HEALTH AND WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1295357085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPENCER HEALTH AND WELLNESS

Provider Business Mailing Address
First Line	:	2764 PLEASANT RD
Second Line	:	STE A PMB 10701
City	:	FORT MILL
State	:	SC
Zip	:	29708-7214
Country	:	US
Telephone Number	:	803-262-3667
Fax Number	:	681-662-2733

Provider Business Practice Location Address
First Line	:	2764 PLEASANT RD
Second Line	:	STE A PMB 10701
City	:	FORT MILL
State	:	SC
Zip	:	29708-7214
Country	:	US
Telephone Number	:	803-262-3667
Fax Number	:	681-662-2733

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DUSTIN SPENCER
Credential	:	DNP
Telephone Number	:	803-906-0952

Provider Enumeration Date	:	05/14/2020
Last Update Date	:	07/07/2025

Similar Medicare Providers

1710449046 — ERIKA DE LA CRUZ MA, LCMHC, LPC, NCC
Practice Location Address:

885 GOLD HILL ROAD , 3004
FORT MILL, SC
29708-7214

Practice Phone: 803-752-0106
Practice Fax:

1013663103 — EBONY P. KENNEDY M.ED., LPC
Practice Location Address:

2764 PLEASANT RD STE A PMB 738
FORT MILL, SC
29708-7214

Practice Phone: 864-275-9926
Practice Fax:

1265329650 — MRS. STEPHANIE PONS COTA/L
Practice Location Address:

2764 PLEASANT RD STE A
FORT MILL, SC
29708-7214

Practice Phone: 704-840-2509
Practice Fax:

1689540031 — PRO RECOVERY NETWORK LLC
Practice Location Address:

2764 PLEASANT RD STE A
FORT MILL, SC
29708-7214

Practice Phone: 803-517-3632
Practice Fax:

1760316913 — AYTONS ARK OF GRACE HOME CARE LLC
Practice Location Address:

801 NW 4TH AVE
FORT LAUDERDALE, FL
33311-7214

Practice Phone: 954-296-2659
Practice Fax: 954-296-2659

1205089760 — MRS. MARY JO MONTIJO SLP-CCC, MS, TSHH
Practice Location Address:

7214 FORT HAMILTON PKWY , 3B
BROOKLYN, NY
11228-1906

Practice Phone: 347-394-4510
Practice Fax: 347-394-4510

Directions to “SPENCER HEALTH AND WELLNESS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.