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NPI Code Detail

MEDICARE: MRS. KESHIA DONUEL KEITH PHD, LPCS, LPC

MEDICARE: MRS. KESHIA DONUEL KEITH PHD, LPCS, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YP2500XProfessional Counselor64401TX
3101YP2500XProfessional Counselor7006SC
4101YP2500XProfessional Counselor6780NC

General Provider Information

NPI Number : 1013141043
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KESHIA DONUEL KEITH PHD, LPCS, LPC
Provider Business Mailing Address
First Line : 516 HIGHLAND RIDGE PT
Second Line :
City : LAKE WYLIE
State : SC
Zip : 29710-5507
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 130 HUDSON ST
Second Line :
City : CHESTER
State : SC
Zip : 29706-1524
Country : US
Telephone Number : 803-377-8111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2009
Last Update Date : 03/19/2025

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