| NPI | 1184472573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAZZMEN NIKOLE DAVIS Practice Owner/Licensed Counselor 404-649-5274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2026-03-24 |