Healthcare Provider Details

I. General information

NPI: 1558021014
Provider Name (Legal Business Name): KEYS2WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2021
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 S 13TH AVE # C
LAUREL MS
39440-4226
US

IV. Provider business mailing address

216 S 13TH AVE # C
LAUREL MS
39440-4226
US

V. Phone/Fax

Practice location:
  • Phone: 601-342-2243
  • Fax:
Mailing address:
  • Phone: 601-342-2243
  • Fax: 601-374-6884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: DR. FELICIA KEYS
Title or Position: OWNER
Credential: DNP, APRN
Phone: 601-342-2243