Provider Demographics
NPI:1619619343
Name:SPENCE, TECELIA ESTERS (LCSW)
Entity Type:Individual
Prefix:
First Name:TECELIA
Middle Name:ESTERS
Last Name:SPENCE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23511 SAN RICCI CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-2237
Mailing Address - Country:US
Mailing Address - Phone:281-258-6753
Mailing Address - Fax:
Practice Address - Street 1:23511 SAN RICCI CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-2237
Practice Address - Country:US
Practice Address - Phone:281-258-6753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX619151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical