COREY KEITH (NPI# 1316423205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316423205 |
| Entity Type | Individual |
| Full Name | COREY KEITH |
| Credential | LMHC |
| Practice Address |
6134 Park Heights Cir Tupelo MS 38801-6023 |
| Practice Telephone | 9405369145 |
| Mailing Telephone | 9405369145 |
| Enumeration Date | 2018-07-14 |
| Last Update Date | 2018-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH16124 | FL | Behavioral Health & Social Service Providers |
| Street Address |
6134 PARK HEIGHTS CIR |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-6023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477173516 | Jessica Roberts, Pllc | Counselor | 354 N Broadway St, Tupelo, MS 38804-3926 | 2020-04-18 |
| 1639726474 | Latesha Short | Counselor | 2434 S Eason Blvd # 1, Tupelo, MS 38804-6942 | 2019-08-26 |
| 1730661331 | Fair Park Counseling Pllc | Counselor | 210 E Main St Ste 2c, Tupelo, MS 38804-4017 | 2018-08-30 |
| 1710468863 | Wellness & Counseling Center of Tupelo LLC | Counselor | 499 Gloster Creek Vlg Ste F-5c, Tupelo, MS 38801-4600 | 2018-08-27 |
| 1972037554 | Janet A Hardy | Counselor | 1202 Harrison St, Tupelo, MS 38801-5646 | 2017-04-20 |
| 1598126401 | Norris Lipsey | Counselor | 246 S Veterans Blvd, Tupelo, MS 38804-5022 | 2016-03-19 |
| 1356706535 | Donna Gail Thompson | Counselor | 699 Nation Hills Dr, Tupelo, MS 38804-6057 | 2015-12-15 |
| 1205215126 | Kana Crumby | Counselor | 499 S Gloster St, Tupelo, MS 38801-5539 | 2015-05-26 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| 1104190834 | Brandon Scott Lewis | Counselor | 1502 S Gloster St, Tupelo, MS 38801-6510 | 2012-02-27 |
| Find all providers in TUPELO | ||||
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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.