Keys for Sober Living, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

433 Issued in LA

Legal business name

KEYS FOR SOBER LIVING, LLC

Practice address

132 W Saint Peter St
New Iberia, LA 70560-3743

Phone

(337) 364-9094

Fax

(337) 364-9071

NPI assigned

May 4, 2010

Last updated

May 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Wilson, PH.D.NPI 1063622421

Title

Clinical Director

Phone

(225) 803-2963

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Edward Wilson, PHD, LCSW-BACS, LAC

  • Clinical Social Worker
  • Lafayette, LA
  • NPI 1063622421
  Authorized official Same address or phone
• Ralph J Melancon Jr., LAC, CCS, SAP

  • Addiction (Substance Use Disorder) Counselor
  • New Iberia, LA
  • NPI 1376098996
  NPD (past)

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1861710642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W SAINT PETER ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603743",
            "telephone_number": "337-364-9094",
            "fax_number": "337-364-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W SAINT PETER ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603743",
            "telephone_number": "337-364-9094",
            "fax_number": "337-364-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYS FOR SOBER LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "225-803-2963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": "433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janai' N Kelly
• Helen Kennedy
• Kennell P. Brown, Jr. DDS, Apdc
• Kenneth a, Ritter Jr. M.D., Apc
• Keys for Sober Living (Opiate Replacement Therapy Centers of America, Inc.)
• Matthew Tyler Khosropour
• Nanette Derouen Kibbe, MS SPEECH PATHOLOGY
• Craig Matthew Kidder I, MSHSA, ANP-C, RHIA
• Dwayne Kincade, DDS
• Brunette Marie King, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.