MRS. KEISHA MOORE SPELLER (NPI# 1083955272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083955272 |
| Entity Type | Individual |
| Full Name | MRS. KEISHA MOORE SPELLER |
| Credential | MA |
| Practice Address |
216 Stewart Pkwy Washington NC 27889 |
| Mailing Address |
111 Cherry St Williamston NC 27892-1903 |
| Practice Telephone | 2529460585 |
| Practice Fax Number | 2529460580 |
| Mailing Telephone | 2525085237 |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3291 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
10072 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
10072 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | LPC | 10072 | 01 |
| NC | 10072 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 223 Washington St, Williamston, NC 278922437 | 2527993000 | 2527928104 |
| Street Address |
216 STEWART PKWY |
| City | WASHINGTON |
| State | NC |
| Zip Code | 27889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912952672 | Dream Provider Care Services | Counselor | 216 Stewart Pkwy, Washington, NC 27889-4972 | 2006-05-23 |
| 1437774007 | Crissa Jewel Allen | Counselor | 216 Stewart Pkwy, Washington, NC 27889-4972 | 2020-06-10 |
| 1003431768 | Alexanderia Clarke Young | Social Worker | 216 Stewart Pkwy, Washington, NC 27889-4972 | 2020-06-09 |
| 1528607132 | Alexis Y Maxwell | Counselor | 216 Stewart Pkwy, Washington, NC 27889-4972 | 2019-12-30 |
| 1255973376 | Sharice La'shae Williams | Social Worker | 216 Stewart Pkwy, Washington, NC 27889-4972 | 2019-10-09 |
| 1215589759 | Michelle D Cantrell | Counselor | 216 Stewart Pkwy, Washington, NC 27889-4972 | 2019-07-15 |
| 1619444718 | Dianna Norman-peele | Social Worker | 216 Stewart Pkwy, Washington, NC 27889-4972 | 2018-10-26 |
| 1497238174 | Chelsea Hassell | Counselor | 216 Stewart Pkwy, Washington, NC 27889-4972 | 2018-09-10 |
| 1750886826 | Vicki Howe | Counselor | 216 Stewart Pkwy, Washington, NC 27889 | 2018-03-29 |
| 1508361668 | Ashleigh Burke Woolard | Counselor | 216 Stewart Pkwy, Washington, NC 27889 | 2018-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336786326 | Coastal Solutions LLC | Counselor | 51 Hwy 33 W, Chocowinity, NC 27889 | 2019-12-09 |
| 1952946246 | Emily Hodges Hall | Pharmacy | 627 E 12th Street, Washington, NC 27889 | 2019-11-11 |
| 1649780032 | John Bailey Bland II | Chiropractor | 610 W. 15th. St., Washington, NC 27889 | 2017-10-11 |
| 1255780136 | County of Beaufort | Ambulance | 1420 Highland Drive, Washington, NC 27889 | 2016-06-10 |
| 1790175917 | Inner Coastal Orthotics and Prosthetics | Orthotist | 1102 North Brown St., Washington, NC 27889 | 2015-01-26 |
| 1972847390 | Country Living Guest Home #7 | Community/Behavioral Health | 207 W 11th St, Washington, NC 27889 | 2012-11-26 |
| 1104182005 | Country Living Guest Home #8 | Community/Behavioral Health | 618 Plant St, Washington, NC 27889 | 2012-04-04 |
| 1881986537 | Mary Lewis Scarbraugh | Social Worker | 408 E. 11th St., Washington, NC 27889 | 2011-05-12 |
| 1952615825 | Country Living Guest Home #6 | Community/Behavioral Health | 252 Dan Taylor Rd, Washington, NC 27889 | 2010-08-03 |
| 1376784371 | Jennifer Michele Richardson | Nurse Practitioner | 1207 Highland Drive, Washington, NC 27889 | 2009-03-20 |
| Find all providers in zip 27889 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062842 | Nikki Taylor Talarico | Counselor | 601 13th St Sw, Suite 900, Washington, DC 20005 | 2020-10-27 |
| 1093322463 | Brooksi Bottari | Counselor | 1401 New York Ave Ne, Washington, DC 20002-1786 | 2020-09-29 |
| 1558976209 | Full Circle Counseling and Wellness, LLC | Counselor | 24363 Spring Creek Rd Ste K, Washington, IL 61571-9654 | 2020-09-10 |
| 1164036042 | Autonomy Alliance Counseling LLC | Counselor | 100 Alamo Dr, Washington, IL 61571-2901 | 2020-09-08 |
| 1679187058 | Leila Barzegar | Counselor | 1673 Park Rd Nw Apt 505, Washington, DC 20010-2132 | 2020-09-03 |
| 1750995593 | Almeta Mccannon | Counselor | 3005 25th St Ne, Washington, DC 20018-2511 | 2020-08-31 |
| 1912510835 | Novia Patrice Davis | Counselor | 511 Nicholson St Nw, Washington, DC 20011-2017 | 2020-08-29 |
| 1992322689 | Suzannah Dichter | Counselor | 1240 18th St Ne Apt 4, Washington, DC 20002-2080 | 2020-06-29 |
| 1013531136 | Toni Ranette Bell | Counselor | 1934 Capitol Ave Ne, Washington, DC 20002-1729 | 2020-06-04 |
| 1306467055 | Camille M White | Counselor | 6142 Sligo Mill Rd Ne, Washington, DC 20011-1526 | 2020-05-05 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 27889 |
Please comment or provide details below to improve the information on MRS. KEISHA MOORE SPELLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.