| NPI | 1154130300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHUNDRA VINES Licensed Professional Counselor 678-463-6053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-02 |