Provider Demographics
NPI:1083223739
Name:KELI ANN REAMS
Entity Type:Organization
Organization Name:KELI ANN REAMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:REAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:724-557-7770
Mailing Address - Street 1:976 W GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:CARMICHAELS
Mailing Address - State:PA
Mailing Address - Zip Code:15320-1620
Mailing Address - Country:US
Mailing Address - Phone:724-557-7770
Mailing Address - Fax:
Practice Address - Street 1:976 W GEORGE ST
Practice Address - Street 2:
Practice Address - City:CARMICHAELS
Practice Address - State:PA
Practice Address - Zip Code:15320-1620
Practice Address - Country:US
Practice Address - Phone:724-557-7770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KELI ANN REAMS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACW020360OtherLCSW