Provider Demographics
NPI:1922831726
Name:SAULS, KEEANYA
Entity type:Individual
Prefix:
First Name:KEEANYA
Middle Name:
Last Name:SAULS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5092 OLD WARWICK RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-2926
Mailing Address - Country:US
Mailing Address - Phone:804-614-7986
Mailing Address - Fax:
Practice Address - Street 1:5092 OLD WARWICK RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-2926
Practice Address - Country:US
Practice Address - Phone:804-614-7986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional