Provider Demographics
NPI:1396481420
Name:WEBB, KEYANA (CSW-INTERN)
Entity type:Individual
Prefix:
First Name:KEYANA
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:CSW-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 MOUNT AUGUSTA CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-7512
Mailing Address - Country:US
Mailing Address - Phone:702-600-6544
Mailing Address - Fax:
Practice Address - Street 1:2320 PASEO DEL PRADO STE B208
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-4332
Practice Address - Country:US
Practice Address - Phone:702-685-0877
Practice Address - Fax:702-749-5922
Is Sole Proprietor?:No
Enumeration Date:2022-05-11
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker