Healthcare Provider Details

I. General information

NPI: 1962351791
Provider Name (Legal Business Name): SPELLER CONSULTING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 01/26/2026
Certification Date: 01/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 PRESCOTT AVE
HAWTHORNE NJ
07506-3740
US

IV. Provider business mailing address

151 PRESCOTT AVE
HAWTHORNE NJ
07506-3740
US

V. Phone/Fax

Practice location:
  • Phone: 855-293-5637
  • Fax:
Mailing address:
  • Phone: 855-293-5637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY SPELLER
Title or Position: OWNER & MANAGING MEMBER
Credential:
Phone: 855-293-5637