Provider Demographics
NPI:1376833541
Name:SAUNDERS, KEISHA M (LPC)
Entity Type:Individual
Prefix:MS
First Name:KEISHA
Middle Name:M
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:KEISHA
Other - Middle Name:M
Other - Last Name:WALDRON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:2211 W MEADOWVIEW RD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-3409
Mailing Address - Country:US
Mailing Address - Phone:336-451-9258
Mailing Address - Fax:
Practice Address - Street 1:2211 W MEADOWVIEW RD
Practice Address - Street 2:SUITE 114
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-3409
Practice Address - Country:US
Practice Address - Phone:336-451-9258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-08
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8721101YP2500X
101YA0400X, 101YM0800X, 101Y00000X, 106H00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist