Healthcare Provider Details

I. General information

NPI: 1225975154
Provider Name (Legal Business Name): KEYS TO WELLNESS COUNSELING & CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 N CENTRAL AVE STE 704
PHOENIX AZ
85012-3054
US

IV. Provider business mailing address

3030 N CENTRAL AVE STE 704
PHOENIX AZ
85012-3054
US

V. Phone/Fax

Practice location:
  • Phone: 480-742-4636
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NIKIA KIRKENDOLL
Title or Position: OWNER
Credential: PSYD, LPC
Phone: 661-435-1563