| Doctor Name: | MRS. KEISHA MOORE SPELLER |
| NPI Number: | 1083955272 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | 3291 |
| Business Practice Address: | 223 Washington St Williamston, NC - 278922437 |
| Business Phone Number: | 2527993000 |
| Business Fax Number: | 2527928104 |
| Mailing Address: | 111 Cherry St, WILLIAMSTON |
| State: | NC |
| Postal Code: | 278921903 |
| Phone Number: | 2525085237 |
| Fax Number: | |
| NPI Enumeration Date: | 03/13/2013 |
| NPI Last Update Date: | 08/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 3291 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |