Neurodiverse Ability Services Llc - Mental Health Clinic in Lake City, FL

Neurodiverse Ability Services Llc is a mental health clinic (Speech-language Pathologist) in Lake City, Florida. The current practice location for Neurodiverse Ability Services Llc is 608 Sw Marvin Burnett Rd, Lake City, Florida. For appointments, you can reach them via phone at (386) 965-5197. The mailing address for Neurodiverse Ability Services Llc is 664 Sw Mauldin Ave, Lake City, Florida and phone number is (386) 965-5197.

Neurodiverse Ability Services Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1598366171. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (386) 965-5197.

Contact Information

Neurodiverse Ability Services Llc
608 Sw Marvin Burnett Rd
Lake City
FL 32025-4918
(386) 965-5197
Not Available

Mental Health Clinic Profile

Full NameNeurodiverse Ability Services Llc
SpecialitySpeech-language Pathologist
Location608 Sw Marvin Burnett Rd, Lake City, Florida
Authorized Official Name and PositionPaula Lynette Miller (PRESIDENT/CEO)
Authorized Official Contact3869655197
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Neurodiverse Ability Services Llc
664 Sw Mauldin Ave
Lake City
FL 32024-4791

Ph: (386) 965-5197
Neurodiverse Ability Services Llc
608 Sw Marvin Burnett Rd
Lake City
FL 32025-4918

Ph: (386) 965-5197

NPI Details:

NPI Number1598366171
Provider Enumeration Date11/02/2020
Last Update Date04/05/2021
Certification Date04/05/2021

Medical Identifiers

Medical identifiers for Neurodiverse Ability Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598366171NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
103K00000XBehavior Analyst (* (Not Available))Secondary
103TS0200XPsychologist - School (* (Not Available))Secondary
171M00000XCase Manager/care Coordinator (* (Not Available))Secondary
224Z00000XOccupational Therapy Assistant (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Primary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary

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› Verified 7 days ago

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