Provider Demographics
NPI:1639802747
Name:KEYS2WELLNESS LLC
Entity Type:Organization
Organization Name:KEYS2WELLNESS LLC
Other - Org Name:INV-U WELLNESS AND IV HYDRATION LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEYS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, NP-C
Authorized Official - Phone:601-274-4004
Mailing Address - Street 1:1250 W 1ST ST STE C
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MS
Mailing Address - Zip Code:39440-4300
Mailing Address - Country:US
Mailing Address - Phone:601-274-4004
Mailing Address - Fax:601-374-6884
Practice Address - Street 1:1250 W 1ST ST STE C
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39440-4300
Practice Address - Country:US
Practice Address - Phone:601-274-4004
Practice Address - Fax:601-374-6884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-06
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0332031166Medicaid
MS1Y8038OtherMEDICARE