Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Latasha Judy Spencer, LLPC

Individual provider Counselor · NPI 1003469644

Latasha Judy Spencer, LLPC is a Mental Health Counselor in Detroit, Michigan. Qualified in 2019, 7 years ago. Practices with Henry Ford Health Eastwood Behavioral Health, a 51-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
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Practice location Address checks out

11105 E Jefferson Ave
Detroit, MI 48214-3317
Phone: (248) 417-1784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22255 Greenfield Rd Ste 300, Southfield, MI 48075-3729 — (248) 849-3301

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 6401017425 (MI)

Record details

NPI number1003469644
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLPC
Sole proprietorYes
NPI enumeratedJuly 23, 2019
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Henry Ford Health Eastwood Behavioral Health — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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