MEDICARE: KEY TO CARE MENTAL HEALTH AND WELLNESS 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
2	163W00000X	Registered Nurse

General Provider Information

NPI Number	:	1649100546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEY TO CARE MENTAL HEALTH AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	2908 JOHNSON ST
Second Line	:
City	:	HOPEWELL
State	:	VA
Zip	:	23860-3338
Country	:	US
Telephone Number	:	804-926-9777
Fax Number	:	804-926-9777

Provider Business Practice Location Address
First Line	:	2908 JOHNSON ST
Second Line	:
City	:	HOPEWELL
State	:	VA
Zip	:	23860-3338
Country	:	US
Telephone Number	:	804-926-9777
Fax Number	:	804-926-9777

Authorized Official
Title or Position	:	CEO
Name	:	KEASIA JONES
Credential	:	MSN, PMHNP-S
Telephone Number	:	804-926-9777

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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