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Organization
NEUROFIRM MENTAL HEALTH AND MEMORY SERVICES, LLC
Active
Organization
NEUROFIRM MENTAL HEALTH AND MEMORY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA BOEDEKER AHNP (OWNER/AUTHORIZED OFFICIAL)
(740) 572-3088
Entity
Organization
Contact information
Practice address
12175 HEFFNER RD, KINGSTON, OH 45644-9661
(740) 572-3088
Mailing address
12175 HEFFNER RD, KINGSTON, OH 45644-9661
(740) 572-3088
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/03/2026
Last updated
09/21/2026
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