| NPI | 1083562623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA MONIQUE SULLIVAN-SMITH Licensed Professional Counselor 251-648-1445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-03-19 |
| Last Update Date | 2026-03-19 |