Provider Demographics
NPI:1265662787
Name:ROGERS-KEITH, RHEA 'ALISON' (LMFT AND CADC)
Entity Type:Individual
Prefix:MRS
First Name:RHEA
Middle Name:'ALISON'
Last Name:ROGERS-KEITH
Suffix:
Gender:F
Credentials:LMFT AND CADC
Other - Prefix:
Other - First Name:RHEA
Other - Middle Name:'ALISON'
Other - Last Name:KEITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT AND CADC
Mailing Address - Street 1:202 DEEPWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-1218
Mailing Address - Country:US
Mailing Address - Phone:270-348-3449
Mailing Address - Fax:
Practice Address - Street 1:202 DEEPWOOD DR
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-1218
Practice Address - Country:US
Practice Address - Phone:270-348-3449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-0407101YA0400X
KYKY-0519106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)