Keeler, Theresa
Keeler, Theresa is an sole proprietor health care provider with primary practice located at 2138 Priest Bridge Ct Suite 1, Crofton MD 21114-2462. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Keeler, Theresa can be contacted via phone (301) 728-9983.Contact Information
Primary practice address
2138 Priest Bridge Ct Suite 1
Crofton MD 21114-2462
Phone: (301) 728-9983
Fax: (301) 357-8560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 14392 | Maryland |
Profile Details
| NPI number | 1164586582 |
|---|---|
| LBN Legal business name | Keeler, Theresa |
| Credentials | MSW, LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Dec 22nd, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164586582 | NPPES |
| Maryland | MEDICAID | 668495 |
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