| NPI | 1174188197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MICHELLE TROSTEN Lmhc, Registered Agent, Owner 352-514-0810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |