| NPI | 1215556436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYCHEL POWERS Owner/Psychologist 850-807-9801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |