| NPI | 1184083396 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TIFFANY DERRICK Founder 678-701-8477 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008265) | 
| Enumeration Date | 2016-02-16 | 
| Last Update Date | 2016-10-28 |