| NPI | 1144933730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA BEAN Owner 615-400-6938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2022-12-29 |