# ALLISON KEITH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710743158
- **Authorized official:** ALLISON KEITH LPC (SOLE MEMBER)
- **Authorized official phone:** (316) 992-5347

## Contact information

- **Practice address:** 8100 E. 22ND ST. N, BUILDING 2200, SUITE 3, WICHITA, KS 67226
- **Practice address phone:** (316) 992-5347
- **Mailing address:** 309 N BROADVIEW ST, WICHITA, KS 67208-3816
- **Mailing address phone:** (316) 992-5347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2024
- **Last updated:** 02/23/2024