Provider Demographics
NPI:1538546437
Name:KEYS TO SUCCESS FAMILY & DEVELOPMENTAL SERVICES
Entity type:Organization
Organization Name:KEYS TO SUCCESS FAMILY & DEVELOPMENTAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSELEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-581-3247
Mailing Address - Street 1:870 N MILITARY HWY STE 208
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3638
Mailing Address - Country:US
Mailing Address - Phone:175-758-1324
Mailing Address - Fax:
Practice Address - Street 1:870 N MILITARY HWY STE 208
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3638
Practice Address - Country:US
Practice Address - Phone:757-581-3247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-29
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health