Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACKIE S. KEITH, ED.D, LPA, BCBA-D
ActiveMRS. JACKIE S. KEITH, ED.D, LPA, BCBA-D is a Counselor healthcare provider located in FOREST, Texas. NPI 1558848820 is currently active in the NPPES registry. Verify at CMS.
Counselor · FOREST, TX
Registration Details
- NPI Number
- 1558848820
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2018 (8.0724316246215 yrs)
- Last Updated
- Jan 31, 2025
- Licenses
-
1612 (TX)34214 (TX)34214 (TX)
Practice Information
- Address
-
440 FM 1247FOREST, TX, 75925Browse TX providers · Browse ZIP 75925
- Phone
- 9366765866
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Psychologist
- Additional Specialty
- Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.