Provider Demographics
NPI:1497268858
Name:DEBORAH KAY-OSTRANDER DBA KEYS TO SUCCESS
Entity Type:Organization
Organization Name:DEBORAH KAY-OSTRANDER DBA KEYS TO SUCCESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:EMILY
Authorized Official - Last Name:KAY-OSTRANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MS,IAADC
Authorized Official - Phone:641-780-1087
Mailing Address - Street 1:1402 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:PELLA
Mailing Address - State:IA
Mailing Address - Zip Code:50219-1502
Mailing Address - Country:US
Mailing Address - Phone:641-204-0055
Mailing Address - Fax:641-628-3181
Practice Address - Street 1:1402 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PELLA
Practice Address - State:IA
Practice Address - Zip Code:50219-1502
Practice Address - Country:US
Practice Address - Phone:641-780-1087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-08
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty