Provider Demographics
NPI:1689715484
Name:KEY, CONSTANCE KNIGHT (MFT, LCADC)
Entity Type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:KNIGHT
Last Name:KEY
Suffix:
Gender:F
Credentials:MFT, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5071 N RAINBOW BLVD
Mailing Address - Street 2:SUITE #170
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-1606
Mailing Address - Country:US
Mailing Address - Phone:702-395-4002
Mailing Address - Fax:702-395-4003
Practice Address - Street 1:5071 N RAINBOW BLVD
Practice Address - Street 2:SUITE #170
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-1606
Practice Address - Country:US
Practice Address - Phone:702-395-4002
Practice Address - Fax:702-395-4003
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01039106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist