| NPI | 1174977847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEIGH MILLER Owner/Operator 205-277-1519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2619) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN LPC0000001909) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2025-12-09 |