Provider Demographics
NPI:1477350619
Name:STERLING, KECIA MONIQUE
Entity type:Individual
Prefix:MRS
First Name:KECIA
Middle Name:MONIQUE
Last Name:STERLING
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 W CHESAPEAKE AVE
Mailing Address - Street 2:
Mailing Address - City:CRISFIELD
Mailing Address - State:MD
Mailing Address - Zip Code:21817-1430
Mailing Address - Country:US
Mailing Address - Phone:443-400-4338
Mailing Address - Fax:
Practice Address - Street 1:9722 GROSS MILL DRIVE
Practice Address - Street 2:SUITE 766
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117
Practice Address - Country:US
Practice Address - Phone:443-400-4338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician