Provider Demographics
NPI:1184205106
Name:STEELE, KILEY M (MMFT)
Entity Type:Individual
Prefix:
First Name:KILEY
Middle Name:M
Last Name:STEELE
Suffix:
Gender:F
Credentials:MMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:736 EDMONDSON PIKE
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8204
Mailing Address - Country:US
Mailing Address - Phone:615-400-1910
Mailing Address - Fax:
Practice Address - Street 1:736 EDMONDSON PIKE
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8204
Practice Address - Country:US
Practice Address - Phone:615-933-6593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health