Provider Demographics
NPI:1083059208
Name:KEY BEHAVIOR ESSENTIALS L.L.C.
Entity Type:Organization
Organization Name:KEY BEHAVIOR ESSENTIALS L.L.C.
Other - Org Name:GUIDED STEPS HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEISHA
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:KEY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:504-481-5048
Mailing Address - Street 1:1900 DUNBARTON DR
Mailing Address - Street 2:SUITE I
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-5015
Mailing Address - Country:US
Mailing Address - Phone:504-481-5048
Mailing Address - Fax:336-464-2227
Practice Address - Street 1:1900 DUNBARTON DR
Practice Address - Street 2:SUITE I
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-5015
Practice Address - Country:US
Practice Address - Phone:504-481-5048
Practice Address - Fax:336-464-2227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty