Provider Demographics
NPI:1780221317
Name:KN THERAPY LCSW GROUP INC
Entity Type:Organization
Organization Name:KN THERAPY LCSW GROUP INC
Other - Org Name:KN THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVARRETE-BELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:323-803-9510
Mailing Address - Street 1:110 N MACLAY AVE STE 114
Mailing Address - Street 2:
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340-2987
Mailing Address - Country:US
Mailing Address - Phone:323-803-9510
Mailing Address - Fax:
Practice Address - Street 1:120 N MACLAY AVE STE G
Practice Address - Street 2:
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-2940
Practice Address - Country:US
Practice Address - Phone:323-803-9510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-02
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty