Provider Demographics
NPI:1164560074
Name:MCKEE, RAYVEN NICOLE
Entity Type:Individual
Prefix:
First Name:RAYVEN
Middle Name:NICOLE
Last Name:MCKEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 GOSSAMER WAY APT 12A
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4101
Mailing Address - Country:US
Mailing Address - Phone:865-660-4881
Mailing Address - Fax:
Practice Address - Street 1:9011 CROSS PARK DR.
Practice Address - Street 2:STE. E475
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923
Practice Address - Country:US
Practice Address - Phone:865-560-2550
Practice Address - Fax:865-560-2580
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor