Provider Demographics
NPI:1902260219
Name:KERI RENEE COUNSELING PLLC
Entity type:Organization
Organization Name:KERI RENEE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KERI
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, NCC, LCMHC
Authorized Official - Phone:828-412-0890
Mailing Address - Street 1:775 HAYWOOD RD STE J
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-7111
Mailing Address - Country:US
Mailing Address - Phone:828-412-0890
Mailing Address - Fax:828-392-8001
Practice Address - Street 1:775 HAYWOOD RD STE J
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-7111
Practice Address - Country:US
Practice Address - Phone:828-412-0890
Practice Address - Fax:828-392-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-12
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health