KETAMINE PSYCHOLYTIC THERAPY LLC; NPI #1972261824

Contact Information

KETAMINE PSYCHOLYTIC THERAPY LLC

45 CASTLE ROCK ROAD STE 2A
SEDONA, AZ 86351

Phone: 928-814-5269
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for KETAMINE PSYCHOLYTIC THERAPY LLC

NPI Number	`1972261824`
LBN Legal business name	KETAMINE PSYCHOLYTIC THERAPY LLC
Authorized official	CRYSTAL CUNNINGHAM - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/07/2021
Last updated	03/08/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KETAMINE PSYCHOLYTIC THERAPY LLC

Contact Information

Specialty

Health Service

NPI Profile & details for KETAMINE PSYCHOLYTIC THERAPY LLC

Reviews for KETAMINE PSYCHOLYTIC THERAPY LLC