KAWANZA SPENCER OWNER REGISTEINTERN NPI 1881189421

NPI Information

NPI: 1881189421
Provider Name: KAWANZA SPENCER, OWNER, REGISTEINTERN
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
6866 PINE FOREST RD STE A
PENSACOLA, FL
ZIP 32526
Phone: (850) 972-9897
Get Directions

Kawanza Spencer, OWNER, REGISTEINTERN is a counselor in Pensacola, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Kawanza Spencer, OWNER, REGISTEINTERN NPI is 1881189421. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6866 PINE FOREST RD STE A
PENSACOLA, FL
ZIP 32526-903
Phone: (850) 972-9897
Fax: (850) 972-9898

The enumeration date for this NPI number is 6/26/2018 and was last updated on 5/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		15681	FLORIDA	Yes
2	101YM0800X	Counselor	Mental Health	15681	FLORIDA	No
3	251C00000X	Day Training, Developmentally Disabled Services		15681	FLORIDA	No
4	103K00000X	Behavior Analyst		15681	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	$$$$$$$$$	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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