Provider Demographics
NPI:1336454719
Name:KEYS COUNSELING, INC
Entity Type:Organization
Organization Name:KEYS COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SILVIO
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:219-241-0218
Mailing Address - Street 1:495 E 900 N
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-9736
Mailing Address - Country:US
Mailing Address - Phone:219-809-0333
Mailing Address - Fax:219-809-0334
Practice Address - Street 1:245 W JOHNSON RD
Practice Address - Street 2:SUITE 9
Practice Address - City:LA PORTE
Practice Address - State:IN
Practice Address - Zip Code:46350-2026
Practice Address - Country:US
Practice Address - Phone:219-809-0333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-10
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health