| NPI | 1013852961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE DALE LARSON Owner/Licensed Prof. Counselor 337-781-9742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-04-20 |