| NPI | 1033556659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKAELA NICOLE HEARD Owner, Lead Therapist 404-832-0604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007304) |
| Additional Taxonomies | 251S00000X (Licence: GA LPC007304) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2014-06-12 |