Provider Demographics
NPI:1659047090
Name:KEEL, DAINA (LPC, NCC)
Entity type:Individual
Prefix:
First Name:DAINA
Middle Name:
Last Name:KEEL
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 LEEDS ST
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-5060
Mailing Address - Country:US
Mailing Address - Phone:504-982-0050
Mailing Address - Fax:
Practice Address - Street 1:230 LEEDS ST
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-5060
Practice Address - Country:US
Practice Address - Phone:504-982-0050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7106101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA7106OtherLPC BOARD OF EXAMINERS