Provider Demographics
NPI:1174224976
Name:LLERAS, KEYSHA LEE (MHC-LP)
Entity type:Individual
Prefix:MS
First Name:KEYSHA
Middle Name:LEE
Last Name:LLERAS
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 HOLLY STREAM CT
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-2639
Mailing Address - Country:US
Mailing Address - Phone:646-641-1830
Mailing Address - Fax:
Practice Address - Street 1:545 SAW MILL RIVER RD STE 3A
Practice Address - Street 2:
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-2159
Practice Address - Country:US
Practice Address - Phone:347-625-8609
Practice Address - Fax:914-663-5423
Is Sole Proprietor?:No
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health