Mr Keith Anthony Fairclough Jr, MS - Counselor in Royal Palm Beach, FL

Mr Keith Anthony Fairclough Jr, MS is a Counselor - Mental Health based in Royal Palm Beach, Florida. Mr Keith Anthony Fairclough Jr is licensed to practice in Florida (license number IMH12852) and his current practice location is 592 Calamint Pt, Royal Palm Beach, Florida. He can be reached at his office (for appointments etc.) via phone at (850) 566-8481.

NPI number for Mr Keith Anthony Fairclough Jr is 1831563097 and his current mailing address is 592 Calamint Pt, Royal Palm Beach, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831563097.

Contact Information

Mr Keith Anthony Fairclough Jr, MS
592 Calamint Pt,
Royal Palm Beach, FL 33411-4212
(850) 566-8481
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Keith Anthony Fairclough Jr
GenderMale
SpecialityCounselor - Mental Health
Location592 Calamint Pt, Royal Palm Beach, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1831563097
  • Provider Enumeration Date: 11/25/2015
  • Last Update Date: 11/25/2015

Medical Identifiers

Medical identifiers for Mr Keith Anthony Fairclough Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831563097NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health IMH12852 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Keith Anthony Fairclough Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Keith Anthony Fairclough Jr, MS
592 Calamint Pt,
Royal Palm Beach, FL 33411-4212

Ph: (850) 566-8481
Mr Keith Anthony Fairclough Jr, MS
592 Calamint Pt,
Royal Palm Beach, FL 33411-4212

Ph: (850) 566-8481

Reviews and Comments


Counselor in Royal Palm Beach, FL

Cheryl Blackman, LMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 219 Preserve Ct, Royal Palm Beach, FL 33411
Phone: 561-379-2809    
Leanne Arthur,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1573 Briar Oak Dr, Royal Palm Beach, FL 33411
Phone: 269-861-0834    
Lauren Clem Olshtein, CMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3263 Dunning Dr, Royal Palm Beach, FL 33411
Phone: 561-788-2099    
Sarah Derosa,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1402 Royal Palm Beach Blvd Ste 400b, Royal Palm Beach, FL 33411
Phone: 561-792-9242    Fax: 561-792-9243
Ms. Laura Rachel Haines, LMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1402 Royal Palm Beach Blvd, Suite 400 B, Royal Palm Beach, FL 33411
Phone: 561-792-9242    Fax: 561-792-9243
Dr. Connie L Ingram, LMHC
Counselor
Medicare: Medicare Enrolled
Practice Location: 1402 Royal Palm Beach Blvd, Suite 400b, Royal Palm Beach, FL 33411
Phone: 561-792-9242    Fax: 561-792-9243
Mrs. Debra Marie Parcells, L.M.H.C., C.A.P.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 10438 Pippin Ln, Royal Palm Beach, FL 33411
Phone: 561-385-6299    

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