Provider Demographics
NPI:1396074100
Name:KEY, CHRISTOPHER RICHARD
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:RICHARD
Last Name:KEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 LOYOLA AVE
Mailing Address - Street 2:405
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113-1912
Mailing Address - Country:US
Mailing Address - Phone:504-491-0774
Mailing Address - Fax:504-525-5896
Practice Address - Street 1:701 LOYOLA AVE STE 405
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70113-1912
Practice Address - Country:US
Practice Address - Phone:504-671-1273
Practice Address - Fax:336-464-2227
Is Sole Proprietor?:No
Enumeration Date:2009-12-08
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2131257Medicaid