Neurodiverse Therapy, Llc is a medicare enrolled mental health clinic (Social Worker) in Fort Knox, Kentucky. The current practice location for Neurodiverse Therapy, Llc is 209 Willow Ave, Fort Knox, Kentucky. For appointments, you can reach them via phone at (561) 414-6016. The mailing address for Neurodiverse Therapy, Llc is 209 Willow Ave, Fort Knox, Kentucky and phone number is () -.
Neurodiverse Therapy, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255020368. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (561) 414-6016.
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Neurodiverse Therapy, Llc 209 Willow Ave Fort Knox KY 40121-4513 Ph: () -
Neurodiverse Therapy, Llc 209 Willow Ave Fort Knox KY 40121-4513 Ph: (561) 414-6016
NPI Details:
NPI Number
1255020368
Provider Enumeration Date
05/04/2023
Last Update Date
05/04/2023
Certification Date
05/04/2023
Medicare PECOS Information:
Medicare PECOS PAC ID
5890219315
Medicare Enrollment ID
O20250407001368
Medical Identifiers
Medical identifiers for Neurodiverse Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1255020368
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
104100000X
Social Worker
(* (Not Available))
Primary
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Neurodiverse Therapy, Llc acts as a billing entity for following providers: