Key Therapy, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S3061 Issued in MS

Legal business name

KEY THERAPY, PLLC

Practice address

7145 Swinnea Rd
Suite 1
Southaven, MS 38671-6380

Phone

(662) 349-2370

Fax

(662) 349-2384

NPI assigned

Mar 25, 2008

Organization subpart

No

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

Authorized official

Name

Mia J Kimmons, M.S. CCC-SLPNPI 1922286863

Title

Speech-Language Pathologist

Phone

(662) 349-2370

Specialties & licenses 1

Addresses

Other names 1

• Keys to Communication Speech, Language & Learning Center, PLLC Doing business as

Locations

Practitioners 1

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

• Mia Jaquay Kimmons, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Southaven, MS
  • NPI 1922286863
  NPD (past) Authorized official

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1386816700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 552",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386710006",
            "telephone_number": "662-349-2370",
            "fax_number": "662-349-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7145 SWINNEA RD",
            "address_2": "SUITE 1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716380",
            "telephone_number": "662-349-2370",
            "fax_number": "662-349-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "KIMMONS",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "662-349-2370",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keys to Communication Speech, Language & Learning Center, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Velasquez Psychiatric Mental Health Nurse Practitioner, LLC
• Patrick John Kelly, DC
• Richard Allen Kelly, M.D.
• Teresa D Kendrick, NP
• Zachary Lee Kennedy, P.T.
• Taylor Nicole Keys, O.D.
• Fazila Khaliq, MD
• Nabeel Hasan Khan, M.D.
• Shan Khan, D.O.
• Caroline Kidder

• Speech-Language Pathologist in Southaven, MS
• Providers in Southaven, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.