Koa Intuitive Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KOA INTUITIVE THERAPY LLC

Practice address

2002 Route 17M Ste 1
Goshen, NY 10924-5236

Phone

(845) 551-8772

NPI assigned

May 7, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Liza Bove

Title

Owner

Phone

(845) 551-8772

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1851956676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 ROUTE 17M STE 1",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109245236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 ROUTE 17M STE 1",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109245236",
            "telephone_number": "845-551-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOA INTUITIVE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "BOVE",
        "authorized_official_first_name": "LIZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-551-8772"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "liza@koaintuitivetherapy.com",
            "affiliation": "N",
            "address_1": "2002 Route 17M Ste 1",
            "city": "Goshen",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109245236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda S Klein, PSY.D.
• Havi Kligfeld, LCSW
• Debra Sue Klinger-Rosenfeld, PH.D.
• Antonette Kmetz
• Amanda Ying Ying Ko, PT
• Kimi Kodilanen, COTA
• Katherine Kolesar, PT
• Bridget A Kolka
• Susan Konitsky, LPN
• Irina V Koreen, MD, PHD

• Clinical Social Worker in Goshen, NY
• Providers in Goshen, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.