| Kind Group LLC | |
|
3691 Kingston Blvd Sarasota FL 34238-2623 | |
| (941) 299-2023 | |
| Not Available |
| Full Name | Kind Group LLC |
|---|---|
| Speciality | Counselor |
| Location | 3691 Kingston Blvd, Sarasota, Florida |
| Authorized Official Name and Position | Jeffrey Richard Klein (CEO) |
| Authorized Official Contact | 9412992023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kind Group LLC 3691 Kingston Blvd Sarasota FL 34238-2623 Ph: (941) 299-2023 | Kind Group LLC 3691 Kingston Blvd Sarasota FL 34238-2623 Ph: (941) 299-2023 |
| NPI Number | 1952174534 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Medicare PECOS PAC ID | 7618329673 |
|---|---|
| Medicare Enrollment ID | O20240116002345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952174534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| Provider Name | Jeffrey Richard Klein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124294319 PECOS PAC ID: 8527410588 Enrollment ID: I20240116002402 |
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