Keena Elizabeth McNealy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMT3311 Issued in FL

Practice address

5115 N Socrum Loop Rd Apt 293
Lakeland, FL 33809-4298

Phone

(904) 652-6352

NPI assigned

Apr 14, 2023

Last updated

Apr 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1124714886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 N SOCRUM LOOP RD APT 293",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338094298",
            "telephone_number": "904-652-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 N SOCRUM LOOP RD APT 293",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338094298",
            "telephone_number": "904-652-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEALY",
        "first_name": "KEENA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT3311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet White McLeod, COTA/L
• John T McLoughlin, DDS
• Shannon Marie McManus, RD, LD/N
• Emma Louise McMicken, ARNP
• Ashley Lauren McNair, PTA
• Julia McNeice, DO
• Sarah McNeill, PHARM D
• Kathryn McNichol
• Niquia Lyndsay McWaters, NP
• MD Mobile Ultrasound LLC

• Marriage & Family Therapist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.