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NPI Code Detail

MEDICARE: SPENCER PRATHER

MEDICARE: SPENCER PRATHER
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 Counselor

General Provider Information

NPI Number : 1467130476
Entity Type Code : Individual
Provider Name (Legal Business Name) : SPENCER PRATHER
Provider Business Mailing Address
First Line : 1950 DOCTORS PARK DR
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-2375
Country : US
Telephone Number : 812-373-6103
Fax Number :
Provider Business Practice Location Address
First Line : 1950 DOCTORS PARK DR
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-2375
Country : US
Telephone Number : 812-373-6103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2023
Last Update Date : 01/16/2026

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Directions to “ SPENCER PRATHER ” Practice Location

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