| NPI | 1154008019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUBRE PHILLIPS Licensed Professional Counselor 479-295-3625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-03 |