Amy F Keen, MSAC, LCDC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ingram, TX

NPI 1376476457 · NPPES record last updated Jun 8, 2026

Key facts

NPI
1376476457
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
17819 (TX)
Practice address
PO Box 192
Ingram, TX 78025-0192
Phone
(806) 500-8094
NPI assigned
Jun 8, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YA0400X 17819 TX Yes

Addresses

Primary practice location

PO Box 192
Ingram, TX 78025-0192

Mailing address

PO Box 192
Ingram, TX 78025-0192
Phone (806) 500-8094

Other providers in Ingram, TX

All providers in Ingram, TX · Addiction (Substance Use Disorder) Counselor in Texas

Sources for this page

Verify at the official NPI Registry.