# NOTABLY GIFTED HEALTH AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851108104
- **Authorized official:** KIMBERLY KENNERSON (OWNER)
- **Authorized official phone:** (937) 985-3703

## Contact information

- **Practice address:** 2800 E RIVER RD, MORAINE, OH 45439-1538
- **Practice address phone:** (937) 985-3703
- **Mailing address:** 2800 E RIVER RD, MORAINE, OH 45439-1538
- **Mailing address phone:** (937) 985-3703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/11/2024
- **Last updated:** 06/16/2026