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NPI Code Detail

MEDICARE: TAMIKA SPENCER LPCC

MEDICARE:   TAMIKA  SPENCER  LPCC
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
1101YM0800XMental Health Counselor1700787OH
2101YP2500XProfessional CounselorE.2102300OH

General Provider Information

NPI Number : 1417468125
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMIKA SPENCER LPCC
Provider Business Mailing Address
First Line : 73 ROSEWOOD DR
Second Line :
City : AVON LAKE
State : OH
Zip : 44012-1307
Country : US
Telephone Number : 440-752-7810
Fax Number :
Provider Business Practice Location Address
First Line : 11201 SHAKER BLVD STE 308
Second Line :
City : CLEVELAND
State : OH
Zip : 44104-3871
Country : US
Telephone Number : 440-752-7810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2017
Last Update Date : 11/11/2025

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Directions to “ TAMIKA SPENCER LPCC” Practice Location

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