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

Neurodiverse Therapy, LLC

Organization Social Worker · NPI 1255020368

Neurodiverse Therapy, LLC is a Social Worker in Fort Knox, Kentucky. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

209 Willow Ave
Fort Knox, KY 40121-4513
Phone: (561) 414-6016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1255020368
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Zimmerman — Lcsw/ Owner · (561) 414-6016
NPI enumeratedMay 4, 2023
Last updated in NPPESMay 4, 2023
Certification dateMay 4, 2023
Mailing address209 Willow Ave, Fort Knox, KY 40121-4513

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