MS. SHANA LYNN SPENCER (NPI# 1437211083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437211083 |
| Entity Type | Individual |
| Full Name | MS. SHANA LYNN SPENCER |
| Credential | FAODP |
| Practice Address |
400 Stoddard Rd. Memphis MI 48027 |
| Mailing Address |
8528 Frith Rd Columbus MI 48063-1300 |
| Practice Telephone | 8103922167 |
| Mailing Telephone | 8108240604 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
S152765564736 | MI | Behavioral Health & Social Service Providers |
| Street Address |
400 STODDARD RD. |
| City | MEMPHIS |
| State | MI |
| Zip Code | 48027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114020476 | Nancy Carole Mills | Counselor | 400 Stoddard Rd., Memphis, MI 48041-4103 | 2006-09-05 |
| 1881165140 | Jillian Rosemary Suminski | Peer Specialist | 400 Stoddard Rd., Memphis, MI 48041 | 2018-12-16 |
| 1922105337 | Joyce Foster-hartsfield | Family Medicine | 400 Stoddard Rd., Memphis, MI 48041-1038 | 2006-09-20 |
| 1003914805 | Karen S. Brooks | Counselor | 400 Stoddard Rd., Memphis, MI 48041-1038 | 2006-09-20 |
| 1023112166 | Michael John Maniscalco | Counselor | 400 Stoddard Rd., Memphis, MI 48041-1038 | 2006-09-11 |
| 1063516268 | Rita Wichtner | Counselor | 400 Stoddard Rd., Memphis, MI 41038-1038 | 2006-09-11 |
| 1083717417 | Cindy Lee Nash | Registered Nurse | 400 Stoddard Rd., Memphis, MI 48041-1038 | 2006-09-07 |
| 1699878728 | Sacred Heart | Residential Treatment Facility, Emotionally Disturbed Children | 400 Stoddard Rd., Memphis, MI 48041 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508394941 | Aslan Efendizade | Student in an Organized Health Care Education/Training Program | 4201 St Antoine, Umc 9c, Detroit, MI 48027 | 2017-05-30 |
| 1881870624 | Amanda Gaye Caudill | Day Training/Habilitation Specialist | 7902 Sparling Rd, Wales, MI 48027-2115 | 2008-01-10 |
| 1336637412 | Heather Lemanski | Midwife | 9120 Green Rd, Wales, MI 48027-2400 | 2018-04-25 |
| 1083839005 | Katherine May Glod | Registered Nurse | 1405 Cove Rd, Wales, MI 48027-2909 | 2007-04-16 |
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724327 | Cynthia Farmer | Counselor | 3256 River Valley Ln, Memphis, TN 38119-8091 | 2020-03-05 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1518441971 | Communityconnect | Counselor | 2555 Jeffries Cv, Memphis, TN 38133-5149 | 2018-09-21 |
| 1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
| 1013421130 | Melvin Thomas Norman Jr. | Counselor | 119 Racine St Ste 105, Memphis, TN 38111-2729 | 2017-11-28 |
| 1902327018 | Lawrence Edward Wilson | Counselor | 1548 Poplar Ave, Memphis, TN 38104-2432 | 2017-06-28 |
| 1740731058 | Eurika Showers | Counselor | 4539 Winchester Rd Ste 111, Memphis, TN 38118-5100 | 2016-10-21 |
| 1639629942 | Chelsi Mcknuckles | Counselor | 4539 Winchester Rd, Suite 101, Memphis, TN 38118-5100 | 2016-10-11 |
| 1154871580 | Brenda Lang | Counselor | 2204 Labelle St, Memphis, TN 38114-5461 | 2016-10-10 |
| 1982159315 | Mufid Abdullah | Counselor | 719 Lydgate Rd, Memphis, TN 38116-5418 | 2016-08-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.