Provider Demographics
NPI:1164480182
Name:KEEKLEY, PATRICIA ANN (LPC)
Entity Type:Individual
Prefix:MISS
First Name:PATRICIA
Middle Name:ANN
Last Name:KEEKLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 PARK HILL DR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:TX
Mailing Address - Zip Code:76531-1542
Mailing Address - Country:US
Mailing Address - Phone:254-386-8179
Mailing Address - Fax:254-386-5334
Practice Address - Street 1:101 PARK HILL DR
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:TX
Practice Address - Zip Code:76531-1542
Practice Address - Country:US
Practice Address - Phone:254-386-8179
Practice Address - Fax:254-386-5334
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10623101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80114LOtherBC/BS PERFORMING PROVIDER