| NPI | 1033962659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY VANESSA NUNNERY-WILLIAMS Licensed Professional Counselor 225-247-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-05-23 |