Provider Demographics
NPI:1154810786
Name:SPENCER, NATALIE RENEE (LPC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:RENEE
Last Name:SPENCER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13606 W 90TH PL
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-3340
Mailing Address - Country:US
Mailing Address - Phone:816-447-6145
Mailing Address - Fax:
Practice Address - Street 1:13606 W 90TH PL
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-3340
Practice Address - Country:US
Practice Address - Phone:816-447-6145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-09
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3155101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor