MISTI KEEN (NPI# 1215284237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215284237 |
| Entity Type | Individual |
| Full Name | MISTI KEEN |
| Credential | MS |
| Practice Address |
415 E Commerce St Ste 205 Greenville AL 36037-2328 |
| Mailing Address |
590 S Boutwell Rd Forest Home AL 36030-5327 |
| Practice Telephone | 3343715848 |
| Practice Fax Number | 3343715849 |
| Mailing Telephone | 3343715848 |
| Mailing Fax Number | 3343715849 |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
3395 | AL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
MH 11871 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 Jazz Dr, Panama City, FL 324054906 | 8505229719 |
| Street Address |
415 E COMMERCE ST STE 205 |
| City | GREENVILLE |
| State | AL |
| Zip Code | 36037-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963092 | Aericka Oneal | Pharmacist | 101 Greenville Bypass, Greenville, AL 36037 | 2020-08-17 |
| 1235530338 | Homestead Hospice of Southern Alabama, LLC | Hospice Care, Community Based | 104 Carmellia Ave, Suite A, Greenville, AL 36037 | 2014-09-08 |
| 1477979672 | Rmcca Clinic A, LLC | Clinic/Center | 300 N College Street, Greenville, AL 36037 | 2014-03-12 |
| 1659502623 | William Hamilton, Jr, Dmd, LLC | Dentist | 106 Fort Dale, Greenville, AL 36037 | 2009-08-07 |
| 1184742512 | James Robert Powell | Counselor | 185 Industrial Parkway, Greenville, AL 36037 | 2007-03-26 |
| 1679649172 | Brenda Burke Bowen | Physical Therapist | 801 Wood Valley Rd, Greenville, AL 36037 | 2006-11-27 |
| 1194812032 | William Hamilton Jr. | Dentist | 106 Cedar St., Greenville, AL 36037 | 2006-10-10 |
| 1578671459 | Marvin Mccoy Hewlett Jr. | Dentist | 402 E Commerce Street, Greenville, AL 36037 | 2006-08-29 |
| 1194258319 | Kristen Beverly | Nurse Practitioner | 300 N College St, Greenville, AL 36037 | 2017-04-05 |
| 1427400035 | Richard Giovane | Family Medicine | 300 N College St, Greenville, AL 36037 | 2016-07-07 |
| Find all providers in zip 36037 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112348 | Stacy A Shock | Counselor | 4115 Joe Ramsey Blvd E Apt 258, Greenville, TX 75401-7771 | 2020-10-19 |
| 1174130298 | Emily Zoino | Counselor | 12 Maple Tree Ct Ste 101, Greenville, SC 29615-4079 | 2020-09-24 |
| 1265055149 | Awaken Hope Counseling, LLC | Counselor | 1 Chick Springs Rd Ste 210d, Greenville, SC 29609-4971 | 2020-05-26 |
| 1891333902 | Angel Marie Henning | Counselor | 55 Smith Hines Rd, Greenville, SC 29607-5706 | 2019-12-19 |
| 1124662010 | Ryan N Murphy | Counselor | 2802 Mulberry Ln Apt F, Greenville, NC 27858-7840 | 2019-11-04 |
| 1164076238 | Jessica Nicole Newman | Counselor | 3824 St Augustine Dr, Greenville, NC 27834-1079 | 2019-07-27 |
| 1871145599 | Vanessa Robertson Solis | Counselor | 5503 Kayway Dr, Greenville, TX 75402-6411 | 2019-07-12 |
| 1316404031 | Quinnisha Pollard | Counselor | 49 Orchard Park Dr Apt 85, Greenville, SC 29615-3521 | 2019-02-28 |
| 1710441399 | Joshua Neuer, LLC | Counselor | 207 Mitchell Rd, Greenville, SC 29615-2644 | 2019-01-28 |
| 1881165264 | Samantha Anne Monson | Counselor | 14 Sitka Ave, Greenville, SC 29607-1737 | 2018-12-11 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 36037 |
Please comment or provide details below to improve the information on MISTI KEEN.
| 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.