| NPI | 1174336143 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ALISON MAKELY Licensed Professional Counselor 678-525-8321  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional | 
| Enumeration Date | 2025-01-31 | 
| Last Update Date | 2025-01-31 |