Provider Demographics
NPI:1780215897
Name:KEY CLINIC
Entity Type:Organization
Organization Name:KEY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HAZEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:540-621-3185
Mailing Address - Street 1:200 W JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:VA
Mailing Address - Zip Code:23851-1430
Mailing Address - Country:US
Mailing Address - Phone:757-562-2346
Mailing Address - Fax:
Practice Address - Street 1:200 W JACKSON ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851-1430
Practice Address - Country:US
Practice Address - Phone:757-562-2346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty