| NPI | 1124757414 |
|---|---|
| Doing Business As | EDIFY MENTAL HEALTH |
| Doing Business As | ZETEO LAITY FOR THE KINGDOM |
| Entity Type | Organization |
| Authorized Contact | DANIEL RICHARD ROBERSON Director 360-230-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101Y00000X Counselor | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2025-10-01 |