Peyton Randolph Keller in Chicago - Mental Health

Peyton Randolph Keller - NPI 1477574788

Peyton Randolph Keller is a Mental Health in Chicago, Illinois. Peyton Randolph Keller practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Peyton Randolph Keller is 1477574788. The last update date is 2007-07-08.

Peyton Randolph Keller's current location address is 1310 N Ritchie Ct, Chicago, Illinois. You can contact this provider via phone number 7082024952 and fax number 7082024954. The mailing address for Peyton Randolph Keller is 1310 N Ritchie Ct, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Peyton Randolph Keller
Address 1310 N Ritchie Ct, Chicago, Illinois
Phone Number 7082024952
Fax Number 7082024954
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1477574788
Provider Enumeration Date 2006-07-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1310 N Ritchie Ct
City Chicago
State Illinois (IL)
Post Code 606102168
Phone Number 7082024952
Fax Number 7082024954

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Peyton Randolph Keller

What is the unique 10-digit identifier code assigned to Peyton Randolph Keller by the Centers for Medicare & Medicaid Services?

The Peyton Randolph Keller has been issued the NPI (National Provider Identifier) 1477574788 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Peyton Randolph Keller located?

The Peyton Randolph Keller is located at 1310 N Ritchie Ct, Chicago, IL 606102168.

What is the Peyton Randolph Keller's area of specialization and corresponding taxonomy classification?

The Peyton Randolph Keller's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1477574788 to Peyton Randolph Keller?

The Centers for Medicare & Medicaid Services originally issued the 1477574788 to Peyton Randolph Keller on 2006-07-21.

When was the information regarding Peyton Randolph Keller most recently updated?

The details pertaining to the Peyton Randolph Keller, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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