Provider Demographics
NPI:1285380279
Name:FLEURANT, KEISHA (MSW)
Entity type:Individual
Prefix:MRS
First Name:KEISHA
Middle Name:
Last Name:FLEURANT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 E 102ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-5035
Mailing Address - Country:US
Mailing Address - Phone:718-288-2125
Mailing Address - Fax:
Practice Address - Street 1:418 SNEDIKER AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-5029
Practice Address - Country:US
Practice Address - Phone:718-345-3455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker