Individual provider · Type 1 NPI

Ricky A. Speller Jr.

Counselor · Winston Salem, NC

NPI number 1568055549 Active

Practice location

4680 Brownsboro Rd Rm A2
Winston Salem, NC 27106-3428

Mailing address

1712 Yarborough Dr
Greensboro, NC 27405-2748

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XAL6322 (NC)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1568055549

Ricky A. Speller Jr.'s National Provider Identifier is 1568055549, issued on Feb 19, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Winston Salem, NC. The record was last updated on Sep 29, 2026.