Provider Demographics
NPI:1063218113
Name:JONES, KEEAYLA S (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KEEAYLA
Middle Name:S
Last Name:JONES
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1316 ARMAND DR APT 204
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-8953
Mailing Address - Country:US
Mailing Address - Phone:773-240-0654
Mailing Address - Fax:
Practice Address - Street 1:110 N AKARD ST # 1035
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-3503
Practice Address - Country:US
Practice Address - Phone:773-240-0654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1075401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical