| Neurodiverse Therapy, Llc | |
|
209 Willow Ave Fort Knox KY 40121-4513 | |
| (561) 414-6016 | |
| Not Available |
| Full Name | Neurodiverse Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 209 Willow Ave, Fort Knox, Kentucky |
| Authorized Official Name and Position | Stacey Zimmerman (LCSW/ OWNER) |
| Authorized Official Contact | 5614146016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 Number | 1255020368 |
|---|---|
| Provider Enumeration Date | 05/04/2023 |
| Last Update Date | 05/04/2023 |
| Certification Date | 05/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255020368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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Wright Path Counseling And Wellness, Pllc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 S Cedar Ave, Fort Knox, KY 40121 Phone: 276-223-8491 Fax: 512-823-0412 |