| Keyna Graham-heine, Pllc | |
|
9116 Gravelly Lake Dr Sw Ste 107 Pmb 1385 Lakewood WA 98499-3148 | |
| (253) 364-6054 | |
| (253) 218-6974 |
| Full Name | Keyna Graham-heine, Pllc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 9116 Gravelly Lake Dr Sw Ste 107, Lakewood, Washington |
| Authorized Official Name and Position | Keyna Graham-heine (OWNER, MEMBER) |
| Authorized Official Contact | 2533646054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keyna Graham-heine, Pllc 9116 Gravelly Lake Dr Sw Ste 107 Lakewood WA 98499-3148 Ph: () - | Keyna Graham-heine, Pllc 9116 Gravelly Lake Dr Sw Ste 107 Pmb 1385 Lakewood WA 98499-3148 Ph: (253) 364-6054 |
| NPI Number | 1093601015 |
|---|---|
| Provider Enumeration Date | 06/16/2025 |
| Last Update Date | 07/10/2025 |
| Certification Date | 07/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093601015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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