Healthcare Provider Details

I. General information

NPI: 1235073156
Provider Name (Legal Business Name): KK PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 WEST ST STE 201
WALPOLE MA
02081-1837
US

IV. Provider business mailing address

279 E CENTRAL ST # 284
FRANKLIN MA
02038-1317
US

V. Phone/Fax

Practice location:
  • Phone: 774-586-5756
  • Fax:
Mailing address:
  • Phone: 774-586-5756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY KNIGHT
Title or Position: OWNER
Credential: LMHC
Phone: 774-586-5756