KEATON COMMUNITY SERVICES PLLC (NPI# 1124581392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124581392 |
| Entity Type | Organization |
| Organization Name | KEATON COMMUNITY SERVICES PLLC |
| Practice Address |
6715 Hockett Country Ln Pleasant Garden NC 27313-8262 |
| Practice Telephone | 3365080714 |
| Practice Fax Number | 3362178847 |
| Mailing Telephone | 3365080714 |
| Mailing Fax Number | 3362178847 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | MARVIN T KEATON (PRESIDENT) |
| Authorized Official Telephone | 3365080714 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
6715 HOCKETT COUNTRY LN |
| City | PLEASANT GARDEN |
| State | NC |
| Zip Code | 27313-8262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942518048 | Marvin Theadore Keaton IIi | Counselor | 6715 Hockett Country Ln, Pleasant Garden, NC 27313-8262 | 2010-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770708851 | Blake Scott Walrond | Dentist | 2607 Tabernacle Church Road, Pleasant Garden, NC 27313 | 2007-04-16 |
| 1528167095 | Clapp's Assisted Living | Assisted Living Facility | 4558 Pleasant Garden Road, Pleasant Garden, NC 27313 | 2006-09-21 |
| 1215030523 | James Henry Tomlinson II | Physician Assistant | 1500 Neelley Rd, Pleasant Garden, NC 27313-0580 | 2006-09-06 |
| 1821174095 | Wilson Oliver Elkins | Family Medicine | 1500 Neelley Rd, Pleasant Garden, NC 27313-0580 | 2006-10-31 |
| 1225000888 | Clapp's Nursing Center, Inc. | Skilled Nursing Facility | 5229 Appomattox Rd, Pleasant Garden, NC 27313-8202 | 2006-02-07 |
| 1477014876 | Sybil Lucas | Physical Therapy Assistant | 5229 Appomattox Rd, Pleasant Garden, NC 27313-8202 | 2019-03-28 |
| 1518424530 | Julie Britt | Occupational Therapist | 5229 Appomattox Rd, Pleasant Garden, NC 27313-8202 | 2019-02-26 |
| 1265908354 | Nicholas Thomas Aivars Lukasevics | Physical Therapy Assistant | 5229 Appomattox Rd, Pleasant Garden, NC 27313-8202 | 2018-10-16 |
| 1316412695 | Renee Otte | Physical Therapy Assistant | 5229 Appomattox Rd, Pleasant Garden, NC 27313-8202 | 2018-10-12 |
| 1477051738 | Cecile Griffin Spence | Physical Therapist | 5229 Appomattox Rd, Pleasant Garden, NC 27313-8202 | 2018-01-31 |
| Find all providers in zip 27313 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841384 | Karen Yvette Johnson | Counselor | 2500 Saint Christopher Cir Sw Apt 1, Wilson, NC 27893-4474 | 2020-11-05 |
| 1407456163 | Fallon Middle Williams | Counselor | 127 Westview Meadows Dr, Goldsboro, NC 27530-9589 | 2020-10-30 |
| 1205436268 | Josette Hoffman Skinner | Counselor | 51 Park Dr Sw, Concord, NC 28027-7029 | 2020-10-29 |
| 1962002931 | Mind Over Mood | Counselor | 115 Carlos Drive, Garysburg, NC 27831 | 2020-10-29 |
| 1528668043 | Hope and Wellness Counseling Pllc | Counselor | 4017 S Nc Highway 11, Wallace, NC 28466-6111 | 2020-10-26 |
| 1205436730 | Joy Elise Chiles | Counselor | 8505 Mount Valley Ln, Raleigh, NC 27613-6931 | 2020-10-26 |
| 1588264006 | Jocelyn S Whitfield | Counselor | 1279 William Beale Rd, Pendleton, NC 27862-7015 | 2020-10-26 |
| 1225637796 | Cindy Verdoorn | Counselor | 10831 Pineville Rd Unit 9, Pineville, NC 28134-8137 | 2020-10-25 |
| 1700485430 | Travis William Richardson | Counselor | 3 Doctors Park Ste 3g, Asheville, NC 28801-4531 | 2020-10-23 |
| 1952900615 | Eastern Trauma & Recovery Counseling Service | Counselor | 11814 Us 64a, Spring Hope, NC 27882-9637 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT GARDEN |
| Zip Code | 27313 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.