| NPI | 1013653237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANELLE SPENCER Owner 929-277-7184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 104100000X Social Worker | |
| 1041S0200X Social Worker, School | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-10 |