| NPI | 1053820720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVONNE MOORE Owner 919-741-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist | |
| 225600000X Dance Therapist | |
| 225A00000X Music Therapist | |
| 246ZA2600X Specialist/Technologist, Other, Art, Medical | |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 103TF0000X Psychologist, Family | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2022-07-21 |