MS. CONNIE MOORE SPENCER (NPI# 1437310588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437310588 |
| Entity Type | Individual |
| Full Name | MS. CONNIE MOORE SPENCER |
| Credential | LPC |
| Practice Address |
3820 Merriman Ct Valdosta GA 31605-7703 |
| Practice Telephone | 2295633225 |
| Practice Fax Number | 2292476887 |
| Mailing Telephone | 2295633225 |
| Mailing Fax Number | 2292476887 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
002897 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417496902 | Connie Spencer | Nurse Practitioner | 106 W Edwards St, Maryville, MO 64468-2419 | 2017-02-16 |
| Street Address |
3820 MERRIMAN CT |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31605-7703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484718 | Mckenna Kristine Bachmann | Specialist/Technologist | Moody Air Force Base, Valdosta, GA 31605 | 2020-07-14 |
| 1376056366 | Michael Brent Robinson Sr. | Contractor | 3863 Camellia Dr., Valdosta, GA 31605 | 2017-11-13 |
| 1679013452 | Baptist Specialty Physicians Inc | Pediatrics | 3301 N Oak St Ext, Valdosta, GA 31605 | 2017-02-28 |
| 1649683541 | Dustin Ross Kilby | Dentist | 2704 Oak Center Dr, Valdosta, GA 31605 | 2014-06-09 |
| 1659643286 | Brittnaey Nicole Freeman | Behavioral Analyst | 3982 Karaline Cir, Valdosta, GA 31605 | 2012-01-27 |
| 1780970335 | Laura Christen Cribbs | Counselor | 3312-d N Oak Street Ext, Valdosta, GA 31605 | 2011-06-22 |
| 1992090633 | Mary Katelyn Harper | Pharmacist | 3200 North Oak Street, Valdosta, GA 31605 | 2011-06-10 |
| 1053532937 | Robert Mark Pearson | Dentist | 3227 N. Oak St. Ext., Valdosta, GA 31605 | 2007-05-01 |
| 1083838650 | Am Sleep Diagnostics and Research Center | Clinic/Center | 3334 Greyatone Way, Valdosta, GA 31605 | 2007-04-12 |
| 1831236181 | William Ashley Moorman | Dentist | Advanced Dental Care, 3211 Wildwood Plantation Drive, Valdosta, GA 31605 | 2007-01-30 |
| Find all providers in zip 31605 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1154814226 | Family Insight, LLC | Counselor | 3350 Noble Way Ste A, Valdosta, GA 31605-7444 | 2018-06-12 |
| 1124538707 | Vanessa Y. Taylor | Counselor | 2601 Bemiss Rd Ste Q, Valdosta, GA 31602-1450 | 2017-10-09 |
| 1932592474 | Erica Gail Mortonson | Counselor | 3525 River Chase Dr, Valdosta, GA 31602-0801 | 2015-03-09 |
| 1104241975 | Bradford Coleman | Counselor | 1805 Green Cir, Valdosta, GA 31602-2734 | 2014-03-03 |
| 1497181960 | Demetria Miranda Hill | Counselor | 705 Lausanne Dr, Valdosta, GA 31601-4153 | 2013-09-17 |
| 1609210020 | Felicia Cora Ratliff | Counselor | 3904 Danube Cir, Valdosta, GA 31605-7065 | 2013-04-29 |
| 1174887483 | Lee Tyson Wade | Counselor | 1205 Baytree Road, #8, Valdosta, GA 31602 | 2012-07-02 |
| 1366760696 | Rachael Shingler Holloman | Counselor | 1803 Canterbury Dr Ste C, Valdosta, GA 31602-0505 | 2010-05-11 |
| 1922150671 | Judy A Bridges | Counselor | 401 Northside Dr, E, Valdosta, GA 31602-1871 | 2007-01-16 |
| Find all providers in VALDOSTA | ||||
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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.