MEDICARE: KEY PATHWAYS TREATMENT & WELLNESS CENTER, LLC

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
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1598617755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEY PATHWAYS TREATMENT & WELLNESS CENTER, LLC

Provider Business Mailing Address
First Line	:	3195 E 65TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44127-1497
Country	:	US
Telephone Number	:	216-374-5202
Fax Number	:

Provider Business Practice Location Address
First Line	:	3195 E 65TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44127-1497
Country	:	US
Telephone Number	:	216-374-5202
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER/DOCTOR
Name	:	KEYEYA FLOYD
Credential	:	DNP
Telephone Number	:	216-374-5202

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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