| NPI | 1104634047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITHE LOUIS-INGRAM Owner/Therapist 980-230-1263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-12-24 |
| Last Update Date | 2026-10-04 |