Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ketamine Psycholytic Therapy LLC

Organization Health Service Clinic/Center · NPI 1972261824

Ketamine Psycholytic Therapy LLC is a Health Service Clinic/Center in Sedona, Arizona. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

45 Castle Rock Rd Ste 2A
Sedona, AZ 86351
Phone: (928) 814-5269
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1972261824
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Crystal Cunningham — Owner · (610) 730-9097
NPI enumeratedDecember 7, 2021
Last updated in NPPESMarch 8, 2022
Certification dateMarch 8, 2022
Mailing address45 Castle Rock Road Ste 2a, Sedona, AZ 86351