Doctor Name: | MRS. LOUISE KEINATH |
NPI Number: | 1083010979 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLPC |
License Number: | 6401011189 |
Business Practice Address: | 8336 Monroe Rd 119 &120 Lambertville, MI - 481449339 |
Business Phone Number: | 3136103040 |
Business Fax Number: | 7342247872 |
Mailing Address: | 8336 Monroe Rd, 119 &120 LAMBERTVILLE |
State: | MI |
Postal Code: | 481449339 |
Phone Number: | 3136103040 |
Fax Number: | 7342247872 |
NPI Enumeration Date: | 11/05/2014 |
NPI Last Update Date: | 11/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6401011189 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |