| NPI | 1184060139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNATHAN JOHNSON, LPC/MHSP Owner 615-601-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 2098) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2022-06-21 |