KEYA MIDDLETON


Address: 2030 N 56th St, Philadelphia, PA 19131-3132
Phone: 2672653985

KEYA MIDDLETON (NPI# 1740896661) 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) 1740896661
Entity Type Individual
Full Name KEYA MIDDLETON
Credential MA, LPC, R-DMT
Practice Address 2030 N 56th St
Philadelphia
PA 19131-3132
Practice Telephone 2672653985
Enumeration Date 2020-09-16
Last Update Date 2020-09-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
PC011485 PA Behavioral Health & Social Service Providers

Office Location

Street Address 2030 N 56TH ST
City PHILADELPHIA
State PA
Zip Code 19131-3132

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629678925 Jonathan Welch Student in an Organized Health Care Education/Training Program 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 2020-10-27
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1821629254 Stephen Osowski Student in an Organized Health Care Education/Training Program 4170 City Avenue, Philadelphia, PA 19131 2020-02-04
1134774888 Arti D Mistry Dentist 1126 Horsham Road, Philadelphia, PW 19131 2019-08-08
1275187221 Grace Bernadette Farrelly Occupational Therapist 2101 Simpson House, Philadelphia, PA 19131 2019-07-29
1235795204 Isd Renal Inc Clinic/Center 4952 Parkside Ave, Philadelphia, PA 19131 2019-05-15
1922502582 Kevin David Wojcik Student in an Organized Health Care Education/Training Program Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 2018-03-20
1235633900 Nadja Hill Home Health 5203 Diamond Street, Philadelphia, PA 19131 2018-03-19
1932623857 Mercy Management of Sepa Social Worker 1575 N 52nd St Ste 800, Philadelphia, PA 19131 2017-08-02
1578092235 Sarah Marie Hoder Specialist/Technologist 4000 Presidential Avenue, Philadlephia, PA 19131 2017-06-07
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City PHILADELPHIA
Zip Code 19131

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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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