| NPI | 1043907082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA THOMAS Licensed Professional Counselor 706-573-7899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-04-19 |