MRS. GAYLA JEAN SPENCE


Address: 2126 N 1st St Ste F, Jacksonville, AR 72076-2868
Phone: 5019825000

MRS. GAYLA JEAN SPENCE (NPI# 1992902464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992902464
Entity Type Individual
Full Name MRS. GAYLA JEAN SPENCE
Credential LPC
Practice Address 2126 N 1st St Ste F
Jacksonville
AR 72076-2868
Mailing Address 1815 Pleasant Grove Rd
Jonesboro
AR 72401-7870
Practice Telephone 5019825000
Practice Fax Number 5019825007
Mailing Telephone 8709336886
Mailing Fax Number 8709339395
Enumeration Date 2007-06-28
Last Update Date 2018-05-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
P0705026 AR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR 169547795 05
AR BCBS 5A490 01

Office Location

Street Address 2126 N 1ST ST STE F
City JACKSONVILLE
State AR
Zip Code 72076-2868

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073529491 Andrea Stiles Social Worker 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 2006-07-31
1548861180 Terrill A Taylor Case Manager/Care Coordinator 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 2020-11-02
1437756376 Rickeal Nelson Case Manager/Care Coordinator 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 2020-10-05
1346847290 Kayla Daniell Carter Case Manager/Care Coordinator 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 2020-10-05
1720694250 Whitney Jenkins Case Manager/Care Coordinator 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 2020-09-21
1598377210 Kodi Carroll Avera Case Manager/Care Coordinator 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 2020-08-24
1114553351 Denisse Pollo Case Manager/Care Coordinator 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 2020-03-19
1649806886 Latoya Williams Case Manager/Care Coordinator 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 2020-03-19
1053944496 Pamela Sue Bagwell Social Worker 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 2020-02-13
1396385712 Avanlea Furr Case Manager/Care Coordinator 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 2020-01-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598396046 Jennifer Michelle Price Licensed Practical Nurse 2400 West Main, Jacksonville, AR 72076 2020-02-03
1912464009 Stat Home Health - Cenark LLC Home Health 1410 Braden Street, Jacksonville, AR 72076 2019-02-25
1649797671 Caring Hearts Counseling, LLC Case Management 111 Marble Drive, Jacksonville, AR 72076 2017-08-30
1376071340 Anne Elizabeth Houtchens Speech-Language Pathologist 2701 Tp White Drive, Jacksonville, AR 72076 2017-06-02
1881140648 Jacksonville North Pulaski School District Local Education Agency (LEA) 1414 West Main, Jacksonville, AR 72076 2016-08-31
1134599772 Jeremiah Melson Fleeman Occupational Therapist 2701 Tpwhite Drive, Jacksonville, AR 72076 2015-09-25
1821424565 Kasey Michele Leeson Social Worker 2520 W. Main St., Jacksonville, AR 72076 2013-09-25
1407104052 Cesalie Deonne Wallace Nurse Practitioner 3000 North First Street, Jacksonville, AR 72076 2012-08-29
1952660995 Joshua Aaron Hill Case Manager/Care Coordinator 2126 N. 1st St Suite F, Jacksonville, AR 72076 2012-05-11
1396023156 Syreeta Tucker Case Manager/Care Coordinator 1109 Burman, Jacksonville, AR 72076 2011-07-28
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285248112 Timothy Scott Mccann Counselor 7400 San Jose Blvd, Jacksonville, FL 32217-3430 2020-09-08
1831700848 Anil Suthar Counselor 11776 Wattle Tree Rd N, Jacksonville, FL 32246-9751 2020-08-12
1700496494 Debra Jones Lewis Counselor 2416 Christi Lakes Ct, Jacksonville, FL 32221-3891 2020-08-06
1992356117 Nicole Wojcik Counselor 221 New Bridge St, Jacksonville, NC 28540-4736 2019-09-28
1700435401 Lori Svendsen Brown Counselor 824 Gum Branch Rd Ste 0, Jacksonville, NC 28540-6272 2019-09-05
1992275499 Brittany Ruth Helmich Counselor 340 W. State St., Jacksonville, IL 62650 2018-11-28
1700356367 Ajay S Lewis Counselor 3010 Cobblewood Ln East, Jacksonville, FL 32225 2018-11-27
1144708157 Anastasia Marie Judge-arauz Counselor 187 Howard Rd, Jacksonville, NC 28540-9332 2018-08-01
1720593072 Cherae Miles Counselor 862 Bunker Hill Blvd, Jacksonville, FL 32208-3220 2017-12-08
1083127476 Heather Watkins Counselor 113 Philip St, Jacksonville, TX 75766-3781 2017-11-08
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Competitor

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City JACKSONVILLE
Zip Code 72076

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Dataset Information

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.

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