Healthcare Provider Details

I. General information

NPI: 1376410050
Provider Name (Legal Business Name): DELANEY KEEFE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 MAITLAND AVE STE 10
ALTAMONTE SPRINGS FL
32701-5444
US

IV. Provider business mailing address

465 MAITLAND AVE
ALTAMONTE SPRINGS FL
32701-5444
US

V. Phone/Fax

Practice location:
  • Phone: 407-900-9018
  • Fax:
Mailing address:
  • Phone: 407-900-9018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH28523
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: