NPI | 1154977064 |
---|---|
Entity Type | Organization |
Authorized Contact | LEIGHYA J RICHARD Owner/Licensed Psychotherapist 407-250-7831 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2019-08-15 |
Last Update Date | 2023-06-05 |