| NPI | 1083127120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN SHEA MILLER Therapist/Owner 251-517-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3221) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10822) |
| Enumeration Date | 2017-11-12 |
| Last Update Date | 2020-07-30 |