| NPI | 1003501610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE DELAVERGNE Founder/CEO 731-610-5596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-10 |