Provider Demographics
NPI:1760203475
Name:A KEY THERAPY LCSW PLLC
Entity type:Organization
Organization Name:A KEY THERAPY LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:ENRICO
Authorized Official - Last Name:SANTI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:607-279-8830
Mailing Address - Street 1:46 ELM ST
Mailing Address - Street 2:
Mailing Address - City:TRUMANSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14886-9749
Mailing Address - Country:US
Mailing Address - Phone:607-279-8830
Mailing Address - Fax:
Practice Address - Street 1:46 ELM ST
Practice Address - Street 2:
Practice Address - City:TRUMANSBURG
Practice Address - State:NY
Practice Address - Zip Code:14886-9749
Practice Address - Country:US
Practice Address - Phone:607-279-8830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty