Provider Demographics
NPI:1821749177
Name:KEYZ TO HEALING LLC
Entity Type:Organization
Organization Name:KEYZ TO HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIAUNA
Authorized Official - Middle Name:N
Authorized Official - Last Name:MAKEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:410-299-4629
Mailing Address - Street 1:823 W SPRING MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:21040-2180
Mailing Address - Country:US
Mailing Address - Phone:410-299-4629
Mailing Address - Fax:
Practice Address - Street 1:823 W SPRING MEADOW CT
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:MD
Practice Address - Zip Code:21040-2180
Practice Address - Country:US
Practice Address - Phone:410-299-4629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty