Provider Demographics
NPI:1770362642
Name:CHELSEA SPENCER THERAPY LLC
Entity type:Organization
Organization Name:CHELSEA SPENCER THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:LCMFT
Authorized Official - Phone:785-329-0599
Mailing Address - Street 1:1612 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-7576
Mailing Address - Country:US
Mailing Address - Phone:785-556-9322
Mailing Address - Fax:
Practice Address - Street 1:330 POYNTZ AVE STE 270
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-6332
Practice Address - Country:US
Practice Address - Phone:785-329-0599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)