| NPI | 1023849858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY GAIL LANE Owner 318-245-3437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |