Provider Demographics
NPI:1407949480
Name:KEATING, GILES ANTHONY (LMHC)
Entity Type:Individual
Prefix:MR
First Name:GILES
Middle Name:ANTHONY
Last Name:KEATING
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:900 CUMMINGS CTR
Mailing Address - Street 2:SUITE 204-U
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6198
Mailing Address - Country:US
Mailing Address - Phone:978-766-9600
Mailing Address - Fax:978-560-0660
Practice Address - Street 1:900 CUMMINGS CTR
Practice Address - Street 2:SUITE 204-U
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6198
Practice Address - Country:US
Practice Address - Phone:978-766-9600
Practice Address - Fax:978-560-0660
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6694101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health