Provider Demographics
NPI:1730580911
Name:KEY BEHAVIOR ESSENTIALS L.L.C.
Entity type:Organization
Organization Name:KEY BEHAVIOR ESSENTIALS L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LENNARD
Authorized Official - Last Name:KEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-491-0774
Mailing Address - Street 1:1535 HOBBY ST
Mailing Address - Street 2:SUITE 201-1
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-1956
Mailing Address - Country:US
Mailing Address - Phone:843-473-3565
Mailing Address - Fax:843-473-3566
Practice Address - Street 1:1535 HOBBY ST
Practice Address - Street 2:SUITE 201-1
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-1956
Practice Address - Country:US
Practice Address - Phone:843-473-3565
Practice Address - Fax:843-473-3566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty