Provider Demographics
NPI:1417468125
Name:SPENCER, TAMIKA LA'KAY (LPCC)
Entity Type:Individual
Prefix:
First Name:TAMIKA
Middle Name:LA'KAY
Last Name:SPENCER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:TAMIKA
Other - Middle Name:L
Other - Last Name:SHEFFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:73 ROSEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012-1307
Mailing Address - Country:US
Mailing Address - Phone:216-389-0991
Mailing Address - Fax:
Practice Address - Street 1:73 ROSEWOOD DR
Practice Address - Street 2:
Practice Address - City:AVON LAKE
Practice Address - State:OH
Practice Address - Zip Code:44012-1307
Practice Address - Country:US
Practice Address - Phone:216-389-0991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-20
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1700787101YM0800X
OHE.2102300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health