Provider Demographics
NPI:1881383008
Name:TADEMY, KEIRA RENEE (NCC, LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:KEIRA
Middle Name:RENEE
Last Name:TADEMY
Suffix:
Gender:F
Credentials:NCC, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13725 CAMBURY DR APT 704
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-2639
Mailing Address - Country:US
Mailing Address - Phone:281-772-7081
Mailing Address - Fax:
Practice Address - Street 1:5850 SAN FELIPE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-3070
Practice Address - Country:US
Practice Address - Phone:281-223-1886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89414101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional