Healthcare Provider Details

I. General information

NPI: 1306097696
Provider Name (Legal Business Name): KEY COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2008
Last Update Date: 10/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 S 2ND ST
BYESVILLE OH
43723-1304
US

IV. Provider business mailing address

PO BOX 1304
CAMBRIDGE OH
43725-6304
US

V. Phone/Fax

Practice location:
  • Phone: 740-584-6441
  • Fax:
Mailing address:
  • Phone: 740-584-6441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.0029680
License Number StateOH

VIII. Authorized Official

Name: MRS. KRISTEN SUE EPPERSON
Title or Position: OWNER/THERAPIST
Credential: LISW-SUP
Phone: 740-584-6441