=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447037940
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SPILLING THE TEA THERAPY & CONSULTING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/11/2023
-----------------------------------------------------
Last Update Date | 07/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2005 ROCK SPRING RD STE 4
-----------------------------------------------------
City | FOREST HILL
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21050-2621
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-461-4585
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9734 MORNINGVIEW CIR
-----------------------------------------------------
City | PERRY HALL
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21128-9024
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-725-5324
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PSYCHOTHERAPIST
-----------------------------------------------------
Name | LEAH BRODY
-----------------------------------------------------
Credential | LCSW-C
-----------------------------------------------------
Telephone | 443-461-4585
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------