Active NPIIndividual provider

Mrs. Melodie Keen, LADC

Counselor, Addiction (Substance Use Disorder) in Norwalk, Connecticut

NPI Number1689945438
Practice location
4 Byington Pl, Norwalk, CT 06850-3309
Fax
203-854-5682
Last updated
January 25, 2012

Melodie Keen is a Counselor, Addiction (Substance Use Disorder) based in Norwalk, CT. Melodie Keen practices in Norwalk, CT and has the professional credentials of LADC. The NPI Number for Melodie Keen is 1689945438 and holds a License No. 000402 (CT). The current practice location address for Melodie Keen is 4 Byington Pl, Norwalk, CT 06850-3309 and can be reached out via phone at 203-866-2541 and via fax at 203-854-5682.

Provider Profile Details

NPI Number
1689945438
Provider Name
Melodie Keen
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
4 Byington Pl, Norwalk, CT 06850-3309
Phone Number
203-866-2541
Fax Number
203-854-5682
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Other Names
-- Melodie Hammer, LMFT (Former Name)
Provider Enumeration Date
January 25, 2012
Last Update Date
January 25, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Byington Pl
Norwalk, CT 06850-3309
Zip
06850-3309
Phone Number
203-866-2541
Fax Number
203-854-5682
Norwalk, CT 06850Get directions →

Provider Business Mailing Address Details

Address
350 Fairfield Ave
Suite 701
Bridgeport, CT 06604-6014
City
Bridgeport
State
CT
Zip
06604-6014
Phone Number
203-336-5225
Fax Number
203-336-2851

License Information

License Number (1)
000402
License State (1)
CT
Taxonomy (1)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
License Number (2)
00723
License State (2)
CT
Taxonomy (2)
Counselor, Mental Health · 101YM0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Melodie Keen, LADC?

The NPI number of Mrs. Melodie Keen, LADC is 1689945438. It was assigned on January 25, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Melodie Keen, LADC?

Mrs. Melodie Keen, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 000402.

Where does Mrs. Melodie Keen, LADC practice?

The practice location is 4 Byington Pl, Norwalk, CT 06850-3309. The office can be reached at 203-866-2541 (phone) or 203-854-5682 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689945438 directly on the NPPES registry website.

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