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KETAMINE PSYCHOLYTIC THERAPY LLC
NPI 1972261824
Clinic/Center - Health Service in Sedona, AZ

Active since December 07, 2021
45 CASTLE ROCK ROAD STE 2A, SEDONA, AZ 86351(928) 814-5269 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2022, Dec 7, 2021 (2 updates tracked since 2021).

About Ketamine Psycholytic Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETAMINE PSYCHOLYTIC THERAPY LLC (NPI 1972261824) is a healthcare organization registered as a health service in Sedona, Arizona and active in the NPI registry since December 2021. The organization lists Crystal Cunningham, Owner, as its authorized official.

NPPES Registry Identity

NPI1972261824
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameKETAMINE PSYCHOLYTIC THERAPY LLC
Location Address45 CASTLE ROCK ROAD STE 2ASedona, AZ 86351
Mailing Address45 Castle Rock Road Ste 2aSedona, AZ 86351 · (610) 730-9097
Phone(928) 814-5269
Organization SubpartNo
Authorized OfficialCrystal CunninghamOwner · (610) 730-9097
Enumeration DateDecember 7, 2021
Last NPPES UpdateMarch 8, 20222 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
✔ NPI 1972261824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
45 CASTLE ROCK ROAD STE 2A, Sedona, AZ 86351
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketamine Psycholytic Therapy LLC's NPI number?

The NPI number for Ketamine Psycholytic Therapy LLC is 1972261824. It was assigned to this organization in the NPPES registry on December 7, 2021.

Where is Ketamine Psycholytic Therapy LLC located?

Ketamine Psycholytic Therapy LLC is located at 45 Castle Rock Road Ste 2A, Sedona, AZ 86351. The listed phone number is (928) 814-5269.

What is Ketamine Psycholytic Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Ketamine Psycholytic Therapy LLC was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.