| NPI | 1225662083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL DOMINIQUE FORTNEY Founder/ Therapist 901-827-7956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |