Organization
NOTABLY GIFTED HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KENNERSON (OWNER)
(937) 985-3703
Entity
Organization
Contact information
Practice address
2800 E RIVER RD, MORAINE, OH 45439-1538
(937) 985-3703
Mailing address
2800 E RIVER RD, MORAINE, OH 45439-1538
(937) 985-3703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
12/11/2024
Last updated
06/16/2026
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