Provider Demographics
NPI:1568188415
Name:DOWNEY, KEYUANTE
Entity Type:Individual
Prefix:
First Name:KEYUANTE
Middle Name:
Last Name:DOWNEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12337 JONES RD STE 200-7
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4892
Mailing Address - Country:US
Mailing Address - Phone:832-712-7899
Mailing Address - Fax:
Practice Address - Street 1:12337 JONES RD STE 200-7
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4892
Practice Address - Country:US
Practice Address - Phone:832-712-7899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-12
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness