DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TAKELA KENYETTA KEECH LCSW, LCASA

MEDICARE: TAKELA KENYETTA KEECH LCSW, LCASA
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
11041C0700XClinical Social WorkerC020113NC
2101YA0400XAddiction (Substance Use Disorder) CounselorLCAS-28984NC

General Provider Information

NPI Number : 1336710961
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAKELA KENYETTA KEECH LCSW, LCASA
Provider Business Mailing Address
First Line : 3125 POPLARWOOD CT STE 203
Second Line :
City : RALEIGH
State : NC
Zip : 27604-6445
Country : US
Telephone Number : 919-787-6131
Fax Number :
Provider Business Practice Location Address
First Line : 2101 GARNER RD
Second Line :
City : RALEIGH
State : NC
Zip : 27610-0114
Country : US
Telephone Number : 919-787-6131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2021
Last Update Date : 06/02/2026

Similar Medicare Providers

1043095193 — ELIZABETH K KINLAW LCSW, LCAS
Practice Location Address:
2101 GARNER RD
RALEIGH, NC
27610-0114
Practice Phone: 919-787-6131
Practice Fax: 919-571-2932
1801740790 — FELICIA NICOLE BRAGGS LCMHCA, LCASA
Practice Location Address:
2101 GARNER RD
RALEIGH, NC
27610-0114
Practice Phone: 919-787-6131
Practice Fax: 919-571-2932
1093327561 — DANIELLE CURLEY POWELL LCSW, LCAS
Practice Location Address:
2101 GARNER RD
RALEIGH, NC
27610-0114
Practice Phone: 919-787-6131
Practice Fax:
1588641880 — DR. LETITIA MARIE HAZEL MD
Practice Location Address:
2101 GARNER RD
RALEIGH, NC
27610-0114
Practice Phone: 919-787-6131
Practice Fax: 919-571-2932
1558431569 — THOMAS G. BERNHARDT M.S., LCAS
Practice Location Address:
2101 GARNER RD
RALEIGH, NC
27610-0114
Practice Phone: 919-787-6131
Practice Fax: 919-571-2932
1306996681 — PETER MANU MD
Practice Location Address:
2101 GARNER RD
RALEIGH, NC
27610-0114
Practice Phone: 919-787-6131
Practice Fax: 919-571-2932

Directions to “ TAKELA KENYETTA KEECH LCSW, LCASA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.