Provider Demographics
NPI:1376299594
Name:KEYS2HEALING, PLLC
Entity Type:Organization
Organization Name:KEYS2HEALING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHANIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:602-367-5291
Mailing Address - Street 1:4573 N 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-3815
Mailing Address - Country:US
Mailing Address - Phone:602-367-5291
Mailing Address - Fax:
Practice Address - Street 1:99 E VIRGINIA AVE STE 170
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1124
Practice Address - Country:US
Practice Address - Phone:602-367-5291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty