OrganizationActive
Neurodiversity Consultants, LLC
NPI 1790358760 · Adolescent and Children Mental Health Clinic/Center · Lexington, KY
Provider details
- NPI number
- 1790358760
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jessica Psy.d., Licensed Psychologist/ Owner(859) 333-2687
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
713 Millpond Rd
Lexington, KY 40514-1570
Phone: (859) 780-3805
Approximate (ZIP-level) locationGet directions
Mailing address
713 Millpond Rd
Lexington, KY 40514-1570
Registry dates
- Enumerated
- 2021-07-19
- Last updated
- 2021-07-19
- Certified
- 2021-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.