| Kensho Wellness Group, Llc. | |
|
3550 Powerline Rd Ft Lauderdale FL 33309-5919 | |
| (855) 972-8674 | |
| Not Available |
| Full Name | Kensho Wellness Group, Llc. |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 3550 Powerline Rd, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Judd Brazer (GENERAL MANAGER) |
| Authorized Official Contact | 8009900340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kensho Wellness Group, Llc. 3550 Powerline Rd Ft Lauderdale FL 33309-5919 Ph: (855) 972-8674 | Kensho Wellness Group, Llc. 3550 Powerline Rd Ft Lauderdale FL 33309-5919 Ph: (855) 972-8674 |
| NPI Number | 1154743391 |
|---|---|
| Provider Enumeration Date | 01/07/2014 |
| Last Update Date | 01/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154743391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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