| NPI | 1104711498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLEIGH ANDERSON Owner 409-761-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-23 |