Provider Demographics
NPI:1124725700
Name:KEES, ALISHA MARIE
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:MARIE
Last Name:KEES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 HEATHERMOOR DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-4566
Mailing Address - Country:US
Mailing Address - Phone:614-732-7061
Mailing Address - Fax:
Practice Address - Street 1:644 DOVALON PL
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:OH
Practice Address - Zip Code:43119-9466
Practice Address - Country:US
Practice Address - Phone:614-732-7061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.188660101Y00000X
OHAPS.003887175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor