Organization
KEYPATH INC
Active
Other names
KEYPATH BEHAVIORAL HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN KWAMINA ADDISON (PRESIDENT)
(978) 208-9034
Entity
Organization
Contact information
Practice address
599 CANAL ST FL 5, LAWRENCE, MA 01840-1244
(978) 208-9034
Mailing address
PO BOX 133, DRACUT, MA 01826-0133
(978) 208-9034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001629245
BUSINESS ID NUMBER
MA
Enumeration date
01/17/2023
Last updated
03/05/2023
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