KEATON COMMUNITY SERVICES PLLC NPI 1124581392

NPI Information

  • NPI: 1124581392
  • Provider Name: KEATON COMMUNITY SERVICES PLLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 6715 HOCKETT COUNTRY LN
    PLEASANT GARDEN, NC
    ZIP 27313
  • Phone: (336) 508-0714

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NPI Details

KEATON COMMUNITY SERVICES PLLC is an addiction (substance use disorder) counselor in Pleasant Garden, NC. KEATON COMMUNITY SERVICES PLLC NPI is 1124581392. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6715 HOCKETT COUNTRY LN
PLEASANT GARDEN, NC
ZIP 27313-262
Phone: (336) 508-0714
Fax: (336) 217-8847

The provider's authorized official is Marvin T Keaton .
The authorized official title is President and has the following contact phone number (336) 508-0714.

The enumeration date for this NPI number is 4/12/2019 and was last updated on 4/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalNo
2101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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