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General NPI Number Information
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NPI Number | 1730580911
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Entity Type | Organization
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Legal Business Name | KEY BEHAVIOR ESSENTIALS L.L.C.
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Dates
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Enumeration Date | 09/08/2014
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Last Update Date | 09/08/2014
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Provider Practice Location Address
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Address Line | 1535 HOBBY ST SUITE 201-1
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-1956
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Country | US
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Telephone | 843-473-3565
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Fax | 843-473-3566
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Provider Business Mailing Address
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Address Line | 1535 HOBBY ST SUITE 201-1
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-1956
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Country | US
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Telephone | 843-473-3565
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Fax | 843-473-3566
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | CHRISTOPHER LENNARD KEY
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Credential |
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Telephone | 504-491-0774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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