# NEUROFIRM MENTAL HEALTH AND MEMORY SERVICES, LLC

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

## Provider details

- **NPI number:** 1942150461
- **Authorized official:** ANGELA BOEDEKER AHNP (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (740) 572-3088

## Contact information

- **Practice address:** 12175 HEFFNER RD, KINGSTON, OH 45644-9661
- **Practice address phone:** (740) 572-3088
- **Mailing address:** 12175 HEFFNER RD, KINGSTON, OH 45644-9661
- **Mailing address phone:** (740) 572-3088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | — | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2026
- **Last updated:** 09/21/2026