LUCILLE RUBY KEEBY-FREDERICKS NPI 1558059279

NPI Information

  • NPI: 1558059279
  • Provider Name: LUCILLE RUBY KEEBY-FREDERICKS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 192 THROOP AVE
    BROOKLYN, NY
    ZIP 11206
  • Phone: (929) 210-9333

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NPI Details

Lucille Ruby Keeby-fredericks is a mental health counselor in Brooklyn, NY. Lucille Ruby Keeby-fredericks NPI is 1558059279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

192 THROOP AVE
BROOKLYN, NY
ZIP 11206-334
Phone: (929) 210-9333

The enumeration date for this NPI number is 5/1/2023 and was last updated on 5/1/2023.

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
1101YM0800XCounselorMental HealthNEW YORKYes

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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