MEDICARE: RONAE SPENCER LPC

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	101YP2500X	Professional Counselor	LPC05589	AL

General Provider Information

NPI Number	:	1508565961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONAE SPENCER LPC

Provider Business Mailing Address
First Line	:	179 MOUNTAIN RIDGE RD
Second Line	:
City	:	MILLBROOK
State	:	AL
Zip	:	36054-2115
Country	:	US
Telephone Number	:	855-387-4378
Fax Number	:

Provider Business Practice Location Address
First Line	:	2659 STATE ST
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92008-1627
Country	:	US
Telephone Number	:	866-938-3831
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2023
Last Update Date	:	02/02/2026

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Directions to “ RONAE SPENCER LPC” Practice Location

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