Kensho Wellness Group, LLC.
Psychologist, Group Psychotherapy in Ft Lauderdale, FL. Organization (NPI-2).
NPI number1154743391
StatusActive
Last updated in NPPESJan 14, 2016
Details
- NPI
- 1154743391
- Entity type
- Organization (NPI-2)
- Legal business name
- Kensho Wellness Group, LLC.
- Organization subpart
- No
- Enumeration date
- Jan 7, 2014
- Last updated
- Jan 14, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TP2701X | Psychologist, Group Psychotherapy | – | – | Yes |
Practice location
3550 Powerline RdFt Lauderdale, FL 33309-5919
Phone 855-972-8674
Mailing address
3550 Powerline RdFt Lauderdale, FL 33309-5919
Phone 855-972-8674
Authorized official
Judd Brazer
General Manager
8009900340
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