| NPI | 1053275206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASTARRA SHAWNTA MCDONALD CEO 704-819-1965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 347C00000X Private Vehicle | |
| 174200000X Meals | |
| 175T00000X Peer Specialist | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 171M00000X Case Manager/Care Coordinator | |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 106S00000X Behavior Technician | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-12-11 |
| Last Update Date | 2025-12-11 |