Provider Demographics
NPI:1598640872
Name:KEY 2 THE SPECTRUM
Entity type:Organization
Organization Name:KEY 2 THE SPECTRUM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KEYERA
Authorized Official - Middle Name:
Authorized Official - Last Name:PORCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-202-2998
Mailing Address - Street 1:304 S JONES BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-2623
Mailing Address - Country:US
Mailing Address - Phone:725-249-3071
Mailing Address - Fax:
Practice Address - Street 1:3550 W. CHEYENNE RD
Practice Address - Street 2:SUITE 130
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032
Practice Address - Country:US
Practice Address - Phone:725-249-3071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health