JUSTIN WADE KEATHLEY


Address: 1200 James Street, Jacksonville, AR 72076
Phone: 5019825000

JUSTIN WADE KEATHLEY (NPI# 1750763678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750763678
Entity Type Individual
Full Name JUSTIN WADE KEATHLEY
Credential INTERN/PLMSW
Practice Address 1200 James Street
Jacksonville
AR 72076
Mailing Address 1815 Pleasant Grove Road
Jonesboro
AR 72404
Practice Telephone 5019825000
Practice Fax Number 5019825007
Mailing Telephone 8709336886
Mailing Fax Number 8709339395
Enumeration Date 2015-06-27
Last Update Date 2015-06-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 1200 JAMES STREET
City JACKSONVILLE
State AR
Zip Code 72076

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710016662 Melanie L Cook-dobbins Social Worker 1200 James Street, Jacksonville, AR 72076-3143 2007-03-05
1942681895 Teresa Nadine Hardy Case Manager/Care Coordinator 1200 James Street, Jacksonville, AR 72076 2015-06-17
1932597168 James Kenneth Burnett Case Manager/Care Coordinator 1200 James Street, Jacksonville, AR 72076 2014-12-22
1902215221 Megan Leann Loney Case Manager/Care Coordinator 1200 James Street, Jacksonville, AR 72076 2014-08-12
1972926855 Shana Lynn Genenbacher Case Manager/Care Coordinator 1200 James Street, Jacksonville, AR 72076 2014-01-28
1609297696 Brandi Nicole Baker Case Manager/Care Coordinator 1200 James Street, Jacksonville, AR 72076 2013-12-18
1881023828 Mallory Leeann Broadaway Nurse Practitioner 1200 James Street, Jacksonville, AR 72076-3143 2013-11-08
1245667237 Mark Howard Kelso Counselor 1200 James Street, Jacksonville, AR 72076 2013-10-04
1932547940 Elizabeth Seidita Case Manager/Care Coordinator 1200 James Street, Jacksonville, AR 72076 2013-06-12
1083057566 Tara A Smith Counselor 1200 James Street, Jacksonville, AR 72076 2013-04-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598396046 Jennifer Michelle Price Licensed Practical Nurse 2400 West Main, Jacksonville, AR 72076 2020-02-03
1912464009 Stat Home Health - Cenark LLC Home Health 1410 Braden Street, Jacksonville, AR 72076 2019-02-25
1649797671 Caring Hearts Counseling, LLC Case Management 111 Marble Drive, Jacksonville, AR 72076 2017-08-30
1376071340 Anne Elizabeth Houtchens Speech-Language Pathologist 2701 Tp White Drive, Jacksonville, AR 72076 2017-06-02
1881140648 Jacksonville North Pulaski School District Local Education Agency (LEA) 1414 West Main, Jacksonville, AR 72076 2016-08-31
1134599772 Jeremiah Melson Fleeman Occupational Therapist 2701 Tpwhite Drive, Jacksonville, AR 72076 2015-09-25
1821424565 Kasey Michele Leeson Social Worker 2520 W. Main St., Jacksonville, AR 72076 2013-09-25
1407104052 Cesalie Deonne Wallace Nurse Practitioner 3000 North First Street, Jacksonville, AR 72076 2012-08-29
1952660995 Joshua Aaron Hill Case Manager/Care Coordinator 2126 N. 1st St Suite F, Jacksonville, AR 72076 2012-05-11
1396023156 Syreeta Tucker Case Manager/Care Coordinator 1109 Burman, Jacksonville, AR 72076 2011-07-28
Find all providers in zip 72076

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134720519 Ashley Harms Counselor 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 2020-11-03
1902418684 Molly Ann Burkhardt Counselor 5776 Saint Augustine Rd # 8030, Jacksonville, FL 32207-8046 2020-08-23
1194335638 Aiteria Green Counselor 9713 Bridgeway Ave, Jacksonville, FL 32222-2913 2020-08-07
1053920116 Barbara Burden Counselor 209 N Carole Dr, Jacksonville, NC 28546-4845 2020-07-24
1790393973 Kelley Holladay Counselor 1782 Plantation Oaks Dr, Jacksonville, FL 32223-5010 2020-07-14
1629696646 Mary Ann Caldwell Counselor 2496 Northwoods Dr., Jacksonville, NC 28540 2020-07-07
1447877709 Quendria Johnson-kerns Counselor 200 Zonnie Ln, Jacksonville, NC 28540-9729 2020-07-02
1467077164 Shanna Horan Counselor 13500 Sutton Park Dr S Ste 702, Jacksonville, FL 32224-5290 2020-06-09
1720602527 Shannon E Raikes Counselor 13990 Bartram Park Blvd Unit 209, Jacksonville, FL 32258-5543 2020-06-08
1750905253 Kathlena N Reed Counselor 4131 University Blvd S Fl 32216, Jacksonville, FL 32216-4326 2020-06-01
Find all providers in JACKSONVILLE

Competitor

Search similar providers

City JACKSONVILLE
Zip Code 72076

Improve Information

Please comment or provide details below to improve the information on JUSTIN WADE KEATHLEY.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches