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NPI Code Detail

MEDICARE: MS. KEISHA R. MCGLOTHAN

MEDICARE:  MS. KEISHA R. MCGLOTHAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1366850356
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KEISHA R. MCGLOTHAN
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 221 N KANSAS ST STE 700
Second Line :
City : EL PASO
State : TX
Zip : 79901-1443
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2014
Last Update Date : 04/29/2026

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Directions to “ MS. KEISHA R. MCGLOTHAN ” Practice Location

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