| NPI | 1053918169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL HENNINGSEN Owner, Founder, CEO, Counselor 501-413-8221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |