KEATON COMMUNITY SERVICES PLLC NPI 1124581392

NPI Information

NPI: 1124581392
Provider Name: KEATON COMMUNITY SERVICES PLLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
6715 HOCKETT COUNTRY LN
PLEASANT GARDEN, NC
ZIP 27313
Phone: (336) 508-0714
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KEATON COMMUNITY SERVICES PLLC is an addiction (substance use disorder) counselor in Pleasant Garden, NC. KEATON COMMUNITY SERVICES PLLC NPI is 1124581392. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6715 HOCKETT COUNTRY LN
PLEASANT GARDEN, NC
ZIP 27313-262
Phone: (336) 508-0714
Fax: (336) 217-8847

The provider's authorized official is Marvin T Keaton .
The authorized official title is President and has the following contact phone number (336) 508-0714.

The enumeration date for this NPI number is 4/12/2019 and was last updated on 4/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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