# KEITH HAAS, LCSW, PLLC

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

## Provider details

- **NPI number:** 1891177325
- **Authorized official:** MR. KEITH PAUL HAAS LCSW (PSYCHOTHERAPIST)
- **Authorized official phone:** (859) 488-1236

## Contact information

- **Practice address:** 501 DARBY CREEK RD, 3, LEXINGTON, KY 40509-1604
- **Practice address phone:** (859) 488-1236
- **Mailing address:** 3277 MADDENHURST CT, LEXINGTON, KY 40517-2866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 3627 | KY | Yes |

## Other

- **Enumeration date:** 06/20/2015
- **Last updated:** 09/13/2016