| Specialty | Taxonomy Code | |
|---|---|---|
| * | Health Service | 261QH0100X |
* Indicates primary specialty
| NPI Number | 1972261824 |
| Legal business name LBN |
KETAMINE PSYCHOLYTIC THERAPY LLC |
| Authorized official | CRYSTAL CUNNINGHAM - (OWNER) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 12/07/2021 |
| Last updated | 03/08/2022 - About 4 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
There are currently no reviews for KETAMINE PSYCHOLYTIC THERAPY LLC