K Ville LLC

NPI #1932862513 in Edgewater, Florida

Provider Information

NPI Number: 1932862513
Entity Type: Organization
Organization Name: K Ville LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Oct 20, 2021
Last Updated: May 12, 2023

Practice Location

Address: 2102 S RIDGEWOOD AVE STE 17
City: Edgewater
State: Florida
ZIP Code: 32141-4230
Phone: (386) 402-8346

Authorized Official

Name: KATY REDEL, LMHC
Title: CLINICIAN/ OWNER
Phone: (386) 402-8346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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