| NPI | 1053177337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LASHON LANE Counselor 334-462-8399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |