Provider Demographics
NPI:1790351658
Name:KEEP GOING COUNSELING
Entity Type:Organization
Organization Name:KEEP GOING COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AKEEM
Authorized Official - Middle Name:S
Authorized Official - Last Name:OGAALDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-610-9479
Mailing Address - Street 1:3130 N ARIZONA AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-7163
Mailing Address - Country:US
Mailing Address - Phone:702-358-8876
Mailing Address - Fax:
Practice Address - Street 1:3150 N ARIZONA AVE STE 104
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-7169
Practice Address - Country:US
Practice Address - Phone:702-358-8876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-01
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health