| NPI | 1053981852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA HANNAH Owner 904-379-8675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-06-25 |