Keedy, James B

Keedy, James B is an sole proprietor health care provider with primary practice located at 8820 Broadway St , San Antonio TX 78217-6318. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Keedy, James B can be contacted via phone (210) 826-8686.

Contact Information

Primary practice address
8820 Broadway St San Antonio TX 78217-6318
Phone: (210) 826-8686
Fax: (210) 826-8624
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 9498 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6192 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 10216 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 3594 Texas

Profile Details

NPI number 1821214107
LBN Legal business name Keedy, James B
Credentials LPC LMFT LSOTP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Jan 16th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821214107 NPPES
Texas MEDICAID 143327801

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