Keyes, Shana Marlene

Keyes, Shana Marlene is an sole proprietor health care provider with primary practice located at 4010 O'Ferral Street Suite 110, Hattiesburg MS 39402. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Keyes, Shana Marlene can be contacted via phone (601) 201-7933.

Contact Information

Primary practice address
4010 O'Ferral Street Suite 110 Hattiesburg MS 39402
Phone: (601) 201-7933
Fax: (601) 469-9927
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C2333 Mississippi
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0308 Mississippi

Profile Details

NPI number 1679883409
LBN Legal business name Keyes, Shana Marlene
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2010
Last updated Oct 14th, 2010 - about 15 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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