Provider Demographics
NPI:1508457557
Name:NOYD, KEELY SCOTT (LPC)
Entity Type:Individual
Prefix:
First Name:KEELY
Middle Name:SCOTT
Last Name:NOYD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11299 STANDING STONE RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-4626
Mailing Address - Country:US
Mailing Address - Phone:678-361-5777
Mailing Address - Fax:
Practice Address - Street 1:1435 HAW CREEK CIR
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-6566
Practice Address - Country:US
Practice Address - Phone:678-208-8982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007286101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional