| NPI | 1205176609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RW RICHARDSON Lmhc, Art Therapist 941-882-0590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11228) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH11228) |
| 221700000X Art Therapist (Licence: FL MH11228) | |
| 251S00000X Community/Behavioral Health | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2019-08-26 |