Spencer, Kawanza

Spencer, Kawanza is an sole proprietor health care provider with primary practice located at 6866 Pine Forest Rd Ste A , Pensacola FL 32526-6903. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst, Agencies / Day Training, Developmentally Disabled Services. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Spencer, Kawanza can be contacted via phone (850) 972-9897.

Contact Information

Primary practice address
6866 Pine Forest Rd Ste A Pensacola FL 32526-6903
Phone: (850) 972-9897
Fax: (850) 972-9898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 1830 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1830 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X 1830 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1830 Florida
Agencies / Day Training, Developmentally Disabled Services 251C00000X 1830 Florida
Behavioral Health & Social Service Providers / Counselor 101Y00000X 15681 Florida

Profile Details

NPI number 1881189421
LBN Legal business name Spencer, Kawanza
Credentials OWNER, REGISTEINTERN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2018
Last updated Apr 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881189421 NPPES
Florida MEDICAID 1841785482
Florida MEDICAID 1881189421
Florida MEDICAID $$$$$$$$$

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