Provider Demographics
NPI:1851757363
Name:KEYS, CELINA (LCSW)
Entity type:Individual
Prefix:
First Name:CELINA
Middle Name:
Last Name:KEYS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 WEYANOKE DR
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-7061
Mailing Address - Country:US
Mailing Address - Phone:407-716-1916
Mailing Address - Fax:407-716-1916
Practice Address - Street 1:431 WEYANOKE DR
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-7061
Practice Address - Country:US
Practice Address - Phone:407-716-1916
Practice Address - Fax:407-716-1916
Is Sole Proprietor?:No
Enumeration Date:2016-01-13
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0054411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical