| NPI | 1073255279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ALLEN Owner/Licensed Mental Health Coun. 850-603-0941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 208100000X Physical Medicine & Rehabilitation | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2024-09-02 |