Provider Demographics
NPI:1053112276
Name:SK PSYCHOTHERAPY LLC
Entity type:Organization
Organization Name:SK PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KNARR
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:765-480-4214
Mailing Address - Street 1:5536 GOLDEN GATE WAY
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-5652
Mailing Address - Country:US
Mailing Address - Phone:765-480-4214
Mailing Address - Fax:
Practice Address - Street 1:3541 S LAFOUNTAIN ST
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-3804
Practice Address - Country:US
Practice Address - Phone:317-426-0702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)