Provider Demographics
NPI:1730264649
Name:MCKEE, JODI (ATR-BC, LPC)
Entity type:Individual
Prefix:MRS
First Name:JODI
Middle Name:
Last Name:MCKEE
Suffix:
Gender:F
Credentials:ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 W LAMAR ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-5885
Mailing Address - Country:US
Mailing Address - Phone:903-868-2961
Mailing Address - Fax:903-892-2265
Practice Address - Street 1:402 W LAMAR ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-5885
Practice Address - Country:US
Practice Address - Phone:903-868-2961
Practice Address - Fax:903-892-2265
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20329101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX180161501Medicaid