Provider Demographics
NPI:1518431162
Name:SPEARMAN, PALAS (CDCA, MFT-T)
Entity type:Individual
Prefix:MISS
First Name:PALAS
Middle Name:
Last Name:SPEARMAN
Suffix:
Gender:F
Credentials:CDCA, MFT-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1074 MEADOWIND CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-4607
Mailing Address - Country:US
Mailing Address - Phone:513-702-5176
Mailing Address - Fax:
Practice Address - Street 1:3012 GLENMORE AVE STE 104
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-2258
Practice Address - Country:US
Practice Address - Phone:513-443-1679
Practice Address - Fax:513-719-0012
Is Sole Proprietor?:No
Enumeration Date:2019-01-16
Last Update Date:2023-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 106S00000X, 171M00000X
OHM.2200322-TRNE106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No171M00000XOther Service ProvidersCase Manager/Care Coordinator