| NPI | 1154947489 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | AMELIA GEORGE Licensed Professional Counselor 985-228-4449  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2020-06-23 | 
| Last Update Date | 2024-07-24 |