Provider Demographics
NPI:1710614029
Name:SPICER, MONICA SCHMIDT
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:SCHMIDT
Last Name:SPICER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6344 DAVIS BLVD # 300A
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-4762
Mailing Address - Country:US
Mailing Address - Phone:817-701-0663
Mailing Address - Fax:
Practice Address - Street 1:6344 DAVIS BLVD # 300A
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-4762
Practice Address - Country:US
Practice Address - Phone:817-701-0663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89168101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health