Provider Demographics
NPI:1023566429
Name:MAYBEE, KESHIA ANN (LPC)
Entity Type:Individual
Prefix:MS
First Name:KESHIA
Middle Name:ANN
Last Name:MAYBEE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:KESHIA
Other - Middle Name:ANN
Other - Last Name:WINSTEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5600 MONROE ST STE 103B
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2795
Mailing Address - Country:US
Mailing Address - Phone:419-885-5952
Mailing Address - Fax:419-885-7630
Practice Address - Street 1:5600 MONROE ST STE 103B
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2795
Practice Address - Country:US
Practice Address - Phone:419-885-5952
Practice Address - Fax:419-885-7630
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401015643101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health