| NPI | 1154797082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENAE LASANDRA WHITEHEAD Owner 910-867-4417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 251S00000X (Licence: NC 8992) | |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2023-08-22 |