LARRY KELLER LSATP LCAS CAADC NPI 1285085779

NPI Information

NPI: 1285085779
Provider Name: LARRY KELLER, LSATP, LCAS, CAADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1555 MEADOWVIEW DR STE 5
DANVILLE, VA
ZIP 24541
Phone: (434) 685-1570
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Larry Keller, LSATP, LCAS, CAADC is an addiction (substance use disorder) counselor in Danville, VA. Larry Keller, LSATP, LCAS, CAADC NPI is 1285085779. 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:

1555 MEADOWVIEW DR STE 5
DANVILLE, VA
ZIP 24541
Phone: (434) 685-1570
Fax: (434) 685-1477

The enumeration date for this NPI number is 6/25/2016 and was last updated on 7/21/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		0718000420	VIRGINIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CSAC20095	NORTH CAROLINA	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1436	VIRGINIA	No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCAS-234233	NORTH CAROLINA	Yes
5	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0710103300	VIRGINIA	No

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: 5/5/2024

NPI Synchronization or Removal

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