Provider Demographics
NPI:1356217178
Name:KEIL, ANNIE
Entity type:Individual
Prefix:
First Name:ANNIE
Middle Name:
Last Name:KEIL
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:ANNE MARIE
Other - Middle Name:
Other - Last Name:KEIL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:200 W. BUTLER AVE
Mailing Address - Street 2:PO BOX 111
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 HIDDEN LN
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-4603
Practice Address - Country:US
Practice Address - Phone:484-474-0836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health