Provider Demographics
NPI:1598162984
Name:KEYS, KAREN ELIZABETH (LMHC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ELIZABETH
Last Name:KEYS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:772 SAINT NICHOLAS AVE
Mailing Address - Street 2:APT 45
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-4012
Mailing Address - Country:US
Mailing Address - Phone:925-852-1842
Mailing Address - Fax:
Practice Address - Street 1:772 SAINT NICHOLAS AVE
Practice Address - Street 2:APT 45
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-4012
Practice Address - Country:US
Practice Address - Phone:925-852-1842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY29978101YA0400X
NY006193-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)