| NPI | 1104655463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY FABER Owner/Licensed Therapist 904-990-4524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-07-26 |