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KYLE BLAIN KECKLEY IMFT LPCC NPI 1154832483


NPI Information

NPI: 1154832483
Provider Name: KYLE BLAIN KECKLEY, IMFT, LPCC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
195 N GRANT AVE STE 250
COLUMBUS, OH
ZIP 43215
Phone: (888) 522-9174
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Kyle Blain Keckley, IMFT, LPCC is a marriage family therapist in Columbus, OH. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. Kyle Blain Keckley, IMFT, LPCC NPI is 1154832483. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

195 N GRANT AVE STE 250
COLUMBUS, OH
ZIP 43215-855
Phone: (888) 522-9174
Fax: (614) 928-9092

The enumeration date for this NPI number is 10/13/2017 and was last updated on 2/25/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalE1901016OHIONo
2106H00000XMarriage & Family TherapistF.1700025OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F.1700025OTHEROHIOIMFT

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: 4/28/2024

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