Rhonda Marie Nelson, CMIP, CADAC, LADAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Spencer, TN

NPI 1043781586 · NPPES record last updated Aug 22, 2026

Key facts

NPI
1043781586
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
1884 (TN)
Practice address
14265 State Route 30
Spencer, TN 38585-3256
Phone
(931) 254-2636
NPI assigned
Dec 10, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1884 TN Yes

Addresses

Primary practice location

14265 State Route 30
Spencer, TN 38585-3256

Mailing address

14265 State Route 30
Spencer, TN 38585-3256
Phone (931) 254-2636

Other providers in Spencer, TN

All providers in Spencer, TN · Addiction (Substance Use Disorder) Counselor in Tennessee

Sources for this page

Verify at the official NPI Registry.