Provider Demographics
NPI:1013483809
Name:KEYS FOR LIFE THERAPUETIC SOLUTIONS LLC
Entity Type:Organization
Organization Name:KEYS FOR LIFE THERAPUETIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:281-691-2179
Mailing Address - Street 1:7507 MASTERS RD
Mailing Address - Street 2:
Mailing Address - City:MANVEL
Mailing Address - State:TX
Mailing Address - Zip Code:77578-4826
Mailing Address - Country:US
Mailing Address - Phone:281-691-2179
Mailing Address - Fax:832-369-9639
Practice Address - Street 1:7507 MASTERS RD
Practice Address - Street 2:
Practice Address - City:MANVEL
Practice Address - State:TX
Practice Address - Zip Code:77578-4826
Practice Address - Country:US
Practice Address - Phone:281-691-2179
Practice Address - Fax:832-369-9639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-18
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty