| NPI | 1053543538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI LYNN STEPHENS Owner/Therapist 901-767-2965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN LPC0000001415) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |