Provider Demographics
NPI:1851638944
Name:KEATING, DRUANN (LMHP, MSW)
Entity type:Individual
Prefix:
First Name:DRUANN
Middle Name:
Last Name:KEATING
Suffix:
Gender:F
Credentials:LMHP, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4321 41ST AVENUE
Mailing Address - Street 2:PO BOX 1028
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68602-1028
Mailing Address - Country:US
Mailing Address - Phone:402-562-8952
Mailing Address - Fax:402-564-0644
Practice Address - Street 1:4321 41ST AVENUE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68602-1028
Practice Address - Country:US
Practice Address - Phone:402-562-8952
Practice Address - Fax:402-564-0611
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4584101YM0800X
NE1586101YM0800X
NE6848104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker