Provider Demographics
NPI:1134899107
Name:KEY BEHAVIOR SOLUTIONS CONSULTING GROUP (KBS)
Entity type:Organization
Organization Name:KEY BEHAVIOR SOLUTIONS CONSULTING GROUP (KBS)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMALETA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-374-9794
Mailing Address - Street 1:PO BOX 274
Mailing Address - Street 2:
Mailing Address - City:SHAW
Mailing Address - State:MS
Mailing Address - Zip Code:38773-0274
Mailing Address - Country:US
Mailing Address - Phone:662-374-9794
Mailing Address - Fax:
Practice Address - Street 1:103 SCOTT STREET
Practice Address - Street 2:
Practice Address - City:SHAW
Practice Address - State:MS
Practice Address - Zip Code:38773-3877
Practice Address - Country:US
Practice Address - Phone:662-374-9794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS1548935380OtherNPI