Provider Demographics
NPI:1710403951
Name:KEY, JAMES W (MA NCC LCMHC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:KEY
Suffix:
Gender:
Credentials:MA NCC LCMHC
Other - Prefix:
Other - First Name:JAY
Other - Middle Name:
Other - Last Name:KEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA NCC LCMHC
Mailing Address - Street 1:3511 SHANNON RD FL 3
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6330
Mailing Address - Country:US
Mailing Address - Phone:919-666-7955
Mailing Address - Fax:
Practice Address - Street 1:505 S DUKE ST STE 302
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3199
Practice Address - Country:US
Practice Address - Phone:571-493-3535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-18
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13156101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional