Provider Demographics
NPI:1962860338
Name:KEY, TERRI (MED, LPC-S)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:
Last Name:KEY
Suffix:
Gender:F
Credentials:MED, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3107 108TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-6721
Mailing Address - Country:US
Mailing Address - Phone:806-780-9589
Mailing Address - Fax:
Practice Address - Street 1:3307 82ND ST UNIT G
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-2032
Practice Address - Country:US
Practice Address - Phone:806-790-9589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60810101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional