Provider Demographics
NPI:1043820715
Name:KEEP COUNSEL
Entity Type:Organization
Organization Name:KEEP COUNSEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAILEY
Authorized Official - Middle Name:MICHIKO
Authorized Official - Last Name:SHAFIR
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC, LCAS, CCS
Authorized Official - Phone:919-798-3128
Mailing Address - Street 1:8320 HARDETH WAY
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-3237
Mailing Address - Country:US
Mailing Address - Phone:919-798-3128
Mailing Address - Fax:
Practice Address - Street 1:8320 HARDETH WAY
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-3237
Practice Address - Country:US
Practice Address - Phone:919-798-3128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty