institution
K Ville Llc
Professional Counselor in Edgewater, Florida
NPI 1932862513

K Ville Llc is a Professional Counselor based in Edgewater, FL and is specialized in Professional. K Ville Llc practices in Edgewater, FL. The NPI Number for K Ville Llc is 1932862513 and holds a License No. (Florida).

The current practice location address for K Ville Llc is 2102 S Ridgewood Ave Ste 17, Edgewater, FL and can be reached out via phone at 386-402-8346.

Location: 2102 S Ridgewood Ave Ste 17, Edgewater, FL, 32141-4230
institution
Provider Profile Details
NPI Number
1932862513
Provider Name
K Ville Llc
Credential
Provider Entity Type
Organization
Address
2102 S Ridgewood Ave Ste 17, Edgewater, FL, 32141-4230
Phone Number
386-402-8346
Fax Number
Provider Enumeration Date
10/20/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
021586900 05 FL
13995716 01 CAQH
institution
Provider Business Practice Location Address Details
Address
2102 S Ridgewood Ave Ste 17
City
State
Zip
32141-4230
Phone Number
386-402-8346
Fax Number
person
Provider Business Mailing Address Details
Address
2102 S Ridgewood Ave Ste 17
City
State
Zip
32141-4230
Phone Number
386-402-8346
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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