National Provider Identifier

Keisha K Clarke

Keisha K Clarke is listed in the NPPES registry with a primary specialty of Counselor in East Amherst, NY and a listed phone number of (716) 418-8531.

NPI 1013720317East Amherst, NYCounselor

Profile Overview

NPI
1013720317
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
January 30, 2025
Last Updated
February 24, 2025

Practice Location

  • 6495 Transit RD Ste 800
  • East Amherst, NY 14051-1427

Phone: (716) 418-8531

Mailing Address

  • 55 Dodge RD
  • Getzville, NY 14068-1205

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1013720317
Entity Type
Individual
Last Name
Clarke
First Name
Keisha
Middle Name
K
Name Prefix
Mrs.
Provider Other Last Name
McCleod
Provider Other First Name
Keisha
Provider Other Last Name Type Code
1
Mailing Street Address
55 Dodge RD
Mailing City
Getzville
Mailing State
NY
Mailing ZIP Code
14068-1205
Mailing Country
US
Mailing Phone
(716) 831-2700
Practice Street Address
6495 Transit RD Ste 800
Practice City
East Amherst
Practice State
NY
Practice ZIP Code
14051-1427
Practice Country
US
Practice Phone
(716) 418-8531
Enumeration Date
January 30, 2025
Last Updated
February 24, 2025
Sex
Female
Sole Proprietor
No
Certification Date
February 24, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)