Provider Demographics
NPI:1679543086
Name:SPIKE, M. ESTELLE (MS, LMHC)
Entity Type:Individual
Prefix:MS
First Name:M.
Middle Name:ESTELLE
Last Name:SPIKE
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 OCEAN ST UNIT 233
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-3680
Mailing Address - Country:US
Mailing Address - Phone:561-414-1317
Mailing Address - Fax:517-366-2562
Practice Address - Street 1:1209 OCEAN ST UNIT 233
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-3680
Practice Address - Country:US
Practice Address - Phone:561-414-1317
Practice Address - Fax:517-366-2562
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3829101YM0800X
MI6401015571101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health