Leighton Keen

Individual provider Active NPI Marriage & Family Therapist · Little Rock, AR

NPI 1982258794 · NPPES record last updated May 19, 2023

Key facts

NPI
1982258794
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
1445 (TN)
Practice address
5507 Ranch Dr Ste 209B
Little Rock, AR 72223-0043
Phone
(501) 214-6136
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1445TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bethany Christian Services Marriage & Family Therapist Past
since Aug 1, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1445 TN Yes

Addresses

Primary practice location

5507 Ranch Dr Ste 209B
Little Rock, AR 72223-0043

Mailing address

1616 Westgate Cir
Brentwood, TN 37027-8019
Phone (615) 488-7105

Other practice location 1

1616 Westgate Cir
Brentwood, TN 37027-8019
Phone (615) 488-7105

Other providers in Little Rock, AR

All providers in Little Rock, AR · Marriage & Family Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.