Organization
KEYS 2 EPIPHANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENTAYA NIELLY (FOUNDER/CEO)
(954) 445-5622
Entity
Organization
Contact information
Practice address
105 ROGERS ST NE APT 2505, ATLANTA, GA 30317-1054
(954) 445-5622
Mailing address
105 ROGERS ST NE APT 2505, ATLANTA, GA 30317-1054
(954) 445-5622
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/02/2025
Last updated
08/02/2025
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