| NPI | 1073025318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON PAUL AUSTIN Co Owner/Therapist 318-516-3878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6317) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 6317) |
| 101YM0800X Counselor, Mental Health (Licence: LA 6317) | |
| 106H00000X Marriage & Family Therapist (Licence: LA 1262) | |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |