12 KEYS MEDICAL GROUP LLC
NPI 1750738589
Psychologist - Addiction (Substance Use Disorder) in Jensen Beach, FL

Q: What is 12 Keys Medical Group LLC's NPI number?

The NPI number for 12 Keys Medical Group LLC is 1750738589. It was assigned to this organization in the NPPES registry on May 23, 2016.

Q: What is 12 Keys Medical Group LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Active since May 23, 2016

618 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957(772) 201-7892 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About 12 Keys Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

12 KEYS MEDICAL GROUP LLC (NPI 1750738589) is a healthcare organization registered as an addiction (substance use disorder) in Jensen Beach, Florida and active in the NPI registry since May 2016. The organization lists Kevin D Lee, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750738589

Entity TypeOrganization

Primary Taxonomy103TA0400X

Legal Business Name12 KEYS MEDICAL GROUP LLC

Location Address618 NE JENSEN BEACH BLVDJensen Beach, FL 34957-4750

Mailing Address618 Ne Jensen Beach BlvdJensen Beach, FL 34957-4750

Phone(772) 201-7892

Organization SubpartNo

Authorized OfficialKevin D LeeCeo · (615) 973-3500

Enumeration DateMay 23, 2016

✔ NPI 1750738589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code103TA0400X

License✔ Licensed in FL · ME83027

Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

618 NE JENSEN BEACH BLVD, Jensen Beach, FL 34957

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

12 KEYS REHAB INC

Clinic/Center (Rehabilitation, Substance Use Disorder)

618 NE JENSEN BEACH BLVD
JENSEN BEACH, FL 34957

Martin County (772) 323-2676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 12 Keys Medical Group LLC's NPI number?

The NPI number for 12 Keys Medical Group LLC is 1750738589. It was assigned to this organization in the NPPES registry on May 23, 2016.

Where is 12 Keys Medical Group LLC located?

12 Keys Medical Group LLC is located at 618 NE Jensen Beach Blvd, Jensen Beach, FL 34957. The listed phone number is (772) 201-7892.

What is 12 Keys Medical Group LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for 12 Keys Medical Group LLC was last updated on May 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.