MISS KEISHA NICOLE KEITH


Address: 2625 Patricia Roberts Harris Pl Ne, Washington, DC 20018-1614
Phone: 7735842289

MISS KEISHA NICOLE KEITH (NPI# 1730799974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730799974
Entity Type Individual
Full Name MISS KEISHA NICOLE KEITH
Credential LGSW
Practice Address 2625 Patricia Roberts Harris Pl Ne
Washington
DC 20018-1614
Practice Telephone 7735842289
Mailing Telephone 7735842289
Enumeration Date 2020-08-03
Last Update Date 2020-08-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
LG50082431 DC Ambulatory Health Care Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
2041 Martin Luther King Jr Ave Se Ste 303, Washington, DC 200207036 7735842289

Office Location

Street Address 2625 PATRICIA ROBERTS HARRIS PL NE
City WASHINGTON
State DC
Zip Code 20018-1614

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1033738653 Unity Health Care, Inc Clinic/Center 1917 Bladensburg Rd Ne, Washington, DC 20002-1811 2020-04-14
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Competitor

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City WASHINGTON
Zip Code 20018

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Dataset Information

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.

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