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NPI Code Detail

MEDICARE: MS. ALEXIS MONIQUE SPENCER LAPC

MEDICARE:  MS. ALEXIS MONIQUE SPENCER  LAPC
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
1101YP2500XProfessional CounselorAPC001907GA

General Provider Information

NPI Number : 1588837140
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALEXIS MONIQUE SPENCER LAPC
Provider Business Mailing Address
First Line : 215 LAKEWOOD WAY SW
Second Line : SUITE 205
City : ATLANTA
State : GA
Zip : 30315-6022
Country : US
Telephone Number : 404-762-3560
Fax Number :
Provider Business Practice Location Address
First Line : 215 LAKEWOOD WAY SW
Second Line : SUITE 205
City : ATLANTA
State : GA
Zip : 30315-6022
Country : US
Telephone Number : 404-762-3560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2008
Last Update Date : 04/03/2008

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Directions to “ MS. ALEXIS MONIQUE SPENCER LAPC” Practice Location

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