NPI | 1124495890 |
---|---|
Former Legal Business Name | ERIC CASSIUS LPC |
Entity Type | Organization |
Authorized Contact | ERIC CASSIUS Member 901-685-5491 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN LPC000000793) |
Enumeration Date | 2015-08-28 |
Last Update Date | 2015-09-18 |