Organization Active NPI

Keys to a Healthy Relationship,LLC

  • Community/Behavioral Health Agency
  • Conyers, GA
National Provider Identifier
1053726158
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC007815 Issued in GA
Legal business name
KEYS TO A HEALTHY RELATIONSHIP,LLC
Practice address
997 Commerce Dr SW
Suite3E
Conyers, GA 30094-6647
Phone
(404) 664-0881
Fax
(800) 449-1093
NPI assigned
Jun 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jennifer Key, LPC,NCCNPI 1841567963
Title
Owner, Professional Counselor
Phone
(404) 664-0881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC007815 GA Primary

Addresses

Primary practice location

997 Commerce Dr SW
Suite3E
Conyers, GA 30094-6647

Mailing address

997 Commerce Dr SW
Suite3E
Conyers, GA 30094-6647
Phone (404) 664-0881

Other identifiers 1

IdentifierTypeStateIssuer
2295450OtherGACOMPSYCH

National Provider Directory

National Provider Directory

Locations

997 Commerce Dr SW
Ste 3E
Conyers, GA 30094
Phone (404) 664-0881

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1053726158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 COMMERCE DR SW",
            "address_2": "SUITE3E",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946647",
            "telephone_number": "404-664-0881",
            "fax_number": "800-449-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 COMMERCE DR SW",
            "address_2": "SUITE3E",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946647",
            "telephone_number": "404-664-0881",
            "fax_number": "800-449-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYS TO A HEALTHY RELATIONSHIP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "KEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER, PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "404-664-0881",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC,NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC007815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "2295450",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.