| Spencer & Associates Therapeutic Alliance, Pllc | |
|
12340 Jones Rd Ste 290 Houston TX 77070-3129 | |
| (832) 756-2749 | |
| (859) 201-1151 |
| Full Name | Spencer & Associates Therapeutic Alliance, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 12340 Jones Rd Ste 290, Houston, Texas |
| Authorized Official Name and Position | Regina Lynn Spencer (OWNER) |
| Authorized Official Contact | 8598168226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer & Associates Therapeutic Alliance, Pllc 12340 Jones Road, Ste 290 Houston TX 77070 Ph: (832) 756-2749 | Spencer & Associates Therapeutic Alliance, Pllc 12340 Jones Rd Ste 290 Houston TX 77070-3129 Ph: (832) 756-2749 |
| NPI Number | 1528440047 |
|---|---|
| Provider Enumeration Date | 06/20/2015 |
| Last Update Date | 12/02/2023 |
| Certification Date | 12/02/2023 |
| Medicare PECOS PAC ID | 5496037939 |
|---|---|
| Medicare Enrollment ID | O20170118002075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528440047 | NPI | - | NPPES |
| 7100439200 | Medicaid | KY | |
| 394812701 | Medicaid | TX |
| Provider Name | Regina L Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700815065 PECOS PAC ID: 6103110010 Enrollment ID: I20170124002645 |
| Provider Name | Brittany Nicole Vogel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982182648 PECOS PAC ID: 1254789472 Enrollment ID: I20231129001655 |
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