Provider Demographics
NPI:1164078630
Name:JOINER, KEELI NICOLE (LMSW)
Entity Type:Individual
Prefix:
First Name:KEELI
Middle Name:NICOLE
Last Name:JOINER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1641 ARLINE CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:WRIGHTSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31096-3523
Mailing Address - Country:US
Mailing Address - Phone:478-232-5854
Mailing Address - Fax:
Practice Address - Street 1:1641 ARLINE CHAPEL RD
Practice Address - Street 2:
Practice Address - City:WRIGHTSVILLE
Practice Address - State:GA
Practice Address - Zip Code:31096-3523
Practice Address - Country:US
Practice Address - Phone:478-232-5854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-12
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW009896104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker