Keegan Myers, LAMFT
Individual provider Active NPI Marriage & Family Therapist · Newark, DE
NPI 1396472072 · NPPES record last updated Jan 26, 2024
Key facts
- NPI
- 1396472072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- FA-0010024 (DE)
- Practice address
- 100 Commerce., BLDG. 100, Suite 300
Newark, DE 19713-2878 - Phone
- (302) 224-1400
- NPI assigned
- Aug 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FA-0010024 | DE | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Atlantic Behavioral Health, LLC | Current |
Accepting new patients |
Locations
100 Commerce Dr
Ste 300
Newark, DE 19713
Phone (302) 530-1743
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | |||
| Marriage & Family Therapist | 106H00000X | FA-0010024 | DE | Yes |
Addresses
Primary practice location
100 Commerce., BLDG. 100, Suite 300
Newark, DE 19713-2878
Mailing address
1110 Sandburg PL
Newark, DE 19702-4479
Phone (717) 599-9029
Other providers in Newark, DE
- Nancy Kerubo Mwebri
- MX Physical Therapy, Inc.
- Myers and Myers Mental Health LLC
- Audrey E Myers
- Ian Myers
- Kristin Myers
- Mindy Myers
- Stacey Dawn Myers
- Ashley Nabb
- Sunanda Nabha
All providers in Newark, DE · Marriage & Family Therapist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.