Provider Demographics
NPI:1619259298
Name:SPEARS, GRENALDA L (LPC)
Entity Type:Individual
Prefix:MS
First Name:GRENALDA
Middle Name:L
Last Name:SPEARS
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 1:1301 NORTHWEST HWY
Mailing Address - Street 2:209
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-5894
Mailing Address - Country:US
Mailing Address - Phone:214-394-3801
Mailing Address - Fax:
Practice Address - Street 1:1301 NORTHWEST HWY
Practice Address - Street 2:209
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-5894
Practice Address - Country:US
Practice Address - Phone:214-394-3801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health