Provider Demographics
NPI:1740758275
Name:KNOWLEDGE EMPOWERS YOU COUNSELING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:KNOWLEDGE EMPOWERS YOU COUNSELING SOLUTIONS, LLC
Other - Org Name:K.E.Y. COUNSELING SOLUTIONS
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PERNELL
Authorized Official - Middle Name:MJ
Authorized Official - Last Name:BUSH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, CNP
Authorized Official - Phone:407-792-9591
Mailing Address - Street 1:2595 SANFORD AVE
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32773-4606
Mailing Address - Country:US
Mailing Address - Phone:407-906-0139
Mailing Address - Fax:
Practice Address - Street 1:580 LEXINGTON GREEN LN
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-1026
Practice Address - Country:US
Practice Address - Phone:407-906-0139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-02
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No102X00000XBehavioral Health & Social Service ProvidersPoetry TherapistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty