Provider Demographics
NPI:1447968961
Name:SPETH, BILLI JO (RMHCI)
Entity type:Individual
Prefix:MRS
First Name:BILLI JO
Middle Name:
Last Name:SPETH
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:MISS
Other - First Name:BILLI JO
Other - Middle Name:
Other - Last Name:PETERSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13520 SW 152ND ST UNIT 771513
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-0178
Mailing Address - Country:US
Mailing Address - Phone:756-565-9616
Mailing Address - Fax:
Practice Address - Street 1:6705 S RED RD STE 512
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3644
Practice Address - Country:US
Practice Address - Phone:786-565-6916
Practice Address - Fax:305-260-6200
Is Sole Proprietor?:No
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH23180101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health