Provider Demographics
NPI:1750187704
Name:KEENEY, NATALIE ROSE (MS, LAPC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ROSE
Last Name:KEENEY
Suffix:
Gender:
Credentials:MS, LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 S HIGH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-3262
Mailing Address - Country:US
Mailing Address - Phone:267-715-0693
Mailing Address - Fax:
Practice Address - Street 1:103 S HIGH ST STE 3
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-3262
Practice Address - Country:US
Practice Address - Phone:267-715-0693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC000849101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional