Provider Demographics
NPI:1861232233
Name:KEYS, SYDNEE NATRICE (LPC)
Entity type:Individual
Prefix:
First Name:SYDNEE
Middle Name:NATRICE
Last Name:KEYS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1049 BRITTFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-4865
Mailing Address - Country:US
Mailing Address - Phone:805-377-1574
Mailing Address - Fax:
Practice Address - Street 1:1049 BRITTFIELD WAY
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-4865
Practice Address - Country:US
Practice Address - Phone:805-377-1574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC014681101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health