Provider Demographics
NPI:1568827038
Name:KEY, CHRISTEL SHANELL
Entity Type:Individual
Prefix:MS
First Name:CHRISTEL
Middle Name:SHANELL
Last Name:KEY
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 1:31 HAMPSHIRE GLEN PKWY
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-4809
Mailing Address - Country:US
Mailing Address - Phone:434-378-1667
Mailing Address - Fax:
Practice Address - Street 1:20 TAMARISK QUAY
Practice Address - Street 2:UNIT D
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-7017
Practice Address - Country:US
Practice Address - Phone:434-378-1667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-28
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701012035101YP2500X
372500000X, 372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion