Provider Demographics
NPI:1558723361
Name:KEIL, ADRIANE
Entity Type:Individual
Prefix:
First Name:ADRIANE
Middle Name:
Last Name:KEIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1146 LAKESIDE CIR
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-1584
Mailing Address - Country:US
Mailing Address - Phone:314-503-7015
Mailing Address - Fax:
Practice Address - Street 1:1365 MALEY HOLLOW RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:TN
Practice Address - Zip Code:37321-6030
Practice Address - Country:US
Practice Address - Phone:314-503-7015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor