Provider Demographics
NPI:1417276437
Name:SPEARS, HARRY (LMHC)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:
Last Name:SPEARS
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 SW 7TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-6459
Mailing Address - Country:US
Mailing Address - Phone:352-379-2829
Mailing Address - Fax:352-379-2843
Practice Address - Street 1:225 SW 7TH TER
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-6459
Practice Address - Country:US
Practice Address - Phone:352-379-2829
Practice Address - Fax:352-379-2843
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YP2500X101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ7260OtherBLUE CROSS BLUE SHIELD