Spires Behavioral Health Care Center, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH0026 Issued in FL

Legal business name

SPIRES BEHAVIORAL HEALTH CARE CENTER, PLLC

Practice address

4428 Lafayette Street
Marianna, FL 32447-5728

Phone

(850) 482-4177

Fax

(850) 482-4178

NPI assigned

Jul 31, 2014

Last updated

Jul 31, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Willie Earl Spires, PH.D., L.M.H.C.

Title

Executive Director

Phone

(850) 482-4177

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tameka Lashunda Codling

  • Mental Health Counselor
  • Riverview, FL
  • NPI 1386121887
  NPD (past)
• Leticia Tenaya Henderson Baker, MS, LMHC

  • Mental Health Counselor
  • Marianna, FL
  • NPI 1740572635
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1821406000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5728",
            "address_2": "4428 LAFAYETTE STREET",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324475728",
            "telephone_number": "850-482-4177",
            "fax_number": "850-482-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 LAFAYETTE STREET",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324475728",
            "telephone_number": "850-482-4177",
            "fax_number": "850-482-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRES BEHAVIORAL HEALTH CARE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "SPIRES",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-482-4177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., L.M.H.C."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH0026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000258100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALTH",
            "identifier": "600562012",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Alabama Diagnostic Imaging
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• John A. Spence, M. D.
• Steven Walter Spence, MD
• Willie Spires, LMHC
• Leigh Ann Spooner
• Angelanell D Stephens, BSN, RN
• Vigie Ambay Stephens
• Stethoscope Staffing and in-Home Care LLC (Stethoscope In Home Supportive Care)

• Mental Health Counselor in Marianna, FL
• Providers in Marianna, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.