Provider Demographics
NPI:1407617699
Name:JKEEN ASSOCIATES, LLC
Entity Type:Organization
Organization Name:JKEEN ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:KEEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:434-249-1082
Mailing Address - Street 1:12452 GRAHAM MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-6620
Mailing Address - Country:US
Mailing Address - Phone:434-249-1082
Mailing Address - Fax:
Practice Address - Street 1:12452 GRAHAM MEADOWS DR
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233-6620
Practice Address - Country:US
Practice Address - Phone:434-249-1082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty