Provider Demographics
NPI:1962025601
Name:E KEENEY LLC
Entity Type:Organization
Organization Name:E KEENEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ELISABETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:KEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:201-370-7644
Mailing Address - Street 1:43 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:WEST MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07480-4279
Mailing Address - Country:US
Mailing Address - Phone:201-370-7644
Mailing Address - Fax:
Practice Address - Street 1:43 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:WEST MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07480-4279
Practice Address - Country:US
Practice Address - Phone:201-370-7644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-28
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health