MEDICARE: KEYS BEHAVIORAL HEALTH 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1851965891
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEYS BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	4605 E CERRO DE AGUILA
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-6930
Country	:	US
Telephone Number	:	231-340-0338
Fax Number	:	888-700-7159

Provider Business Practice Location Address
First Line	:	4605 E CERRO DE AGUILA
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-6930
Country	:	US
Telephone Number	:	231-340-0338
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AMBER DATO
Credential	:	PH.D.
Telephone Number	:	231-340-0338

Provider Enumeration Date	:	05/14/2021
Last Update Date	:	03/05/2026

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