Whitney, Keisha Nicole

Whitney, Keisha Nicole is an sole proprietor health care provider with primary practice located at 201 Wynn St , Portsmouth VA 23701-3141. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Nurse's Aide. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Whitney, Keisha Nicole can be contacted via phone (757) 621-0117.

Contact Information

Primary practice address
201 Wynn St Portsmouth VA 23701-3141
Phone: (757) 621-0117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0732003734 Virginia
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Nursing Service Related Providers / Nurse's Aide 376K00000X 1401096837 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0733007314 Virginia

Profile Details

NPI number 1457990285
LBN Legal business name Whitney, Keisha Nicole
Credentials QMHP C, QMHP A, CNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2019
Last updated Dec 26th, 2019 - about 6 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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