Provider Demographics
NPI:1861865693
Name:KEY BEHAVIOR ESSENTIALS LLC
Entity Type:Organization
Organization Name:KEY BEHAVIOR ESSENTIALS LLC
Other - Org Name:GUIDED STEPS HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:KEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-491-0774
Mailing Address - Street 1:701 LOYOLA AVE
Mailing Address - Street 2:SUITE 405
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113-1912
Mailing Address - Country:US
Mailing Address - Phone:504-525-9404
Mailing Address - Fax:336-464-2227
Practice Address - Street 1:701 LOYOLA AVE
Practice Address - Street 2:SUITE 405
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70113-1912
Practice Address - Country:US
Practice Address - Phone:504-525-9404
Practice Address - Fax:336-464-2227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-02
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2131257251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2131257Medicaid