Healthcare Provider Details

I. General information

NPI: 1346619152
Provider Name (Legal Business Name): KESHIA TAMARA JAMES-HICKS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2015
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1603 NW 7TH AVE
MIAMI FL
33136-1415
US

IV. Provider business mailing address

1792 SE 9TH AVE
FLORIDA CITY FL
33034-3560
US

V. Phone/Fax

Practice location:
  • Phone: 305-374-1065
  • Fax:
Mailing address:
  • Phone: 786-266-7292
  • Fax: 225-771-8876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6173
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH25672
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: