Provider Demographics
NPI:1508563289
Name:KEENER, ANASTASIA NOEL (LGSW)
Entity Type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:NOEL
Last Name:KEENER
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:ANASTASIA
Other - Middle Name:NOEL
Other - Last Name:DUNFORD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:497 MALL RD
Mailing Address - Street 2:
Mailing Address - City:OAK HILL
Mailing Address - State:WV
Mailing Address - Zip Code:25901-6115
Mailing Address - Country:US
Mailing Address - Phone:304-469-2905
Mailing Address - Fax:304-465-1518
Practice Address - Street 1:497 MALL RD
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:WV
Practice Address - Zip Code:25901-6115
Practice Address - Country:US
Practice Address - Phone:304-469-2905
Practice Address - Fax:304-465-1518
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker