Organization
BIG SKY MIND, LLC
Active
Other names
Adam Klaybor, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM KLAYBOR LCSW (OWNER)
(541) 668-6678
Entity
Organization
Contact information
Practice address
15073 SHADY PALMS LN, NOKOMIS, FL 34275-4340
(541) 668-6678
Mailing address
15073 SHADY PALMS LN, NOKOMIS, FL 34275-4340
(541) 668-6678
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500794020
—
OR
Enumeration date
09/22/2021
Last updated
04/22/2025
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