Mary Ellen Keyt, LMHC
Individual provider Active NPI Mental Health Counselor · Greenville, FL
NPI 1992001697 · NPPES record last updated Jan 28, 2011
Key facts
- NPI
- 1992001697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH 8333 (FL)
- Practice address
- 950 SW Greenville Hills Rd
Greenville, FL 32331-3108 - Phone
- (850) 948-4220
- Fax
- (850) 948-4427
- NPI assigned
- Jan 28, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| MH 8333 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joann Bridges Academy | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 8333 | FL | Yes |
Addresses
Primary practice location
950 SW Greenville Hills Rd
Greenville, FL 32331-3108
Mailing address
5712 Emma LN
Tallahassee, FL 32317-1441
Phone (850) 545-0142
Other providers in Greenville, FL
- Greenville Partnership LTD
- Honey Lake Clinic Inc
- Honey Lake Clinic Inc
- Jacksons Drugs of Monticello, Inc.
- Joann Bridges Academy
- Lafrenchee L. McCreary
- Rasheda W Lane
- Joanne Patti Lasker
- Livingston Caresllc
- Isreal Livingston III
All providers in Greenville, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2011. 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.