| NPI | 1205545696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE YAKSH Founder, Clinical Director 770-823-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2022-11-15 |