| NPI | 1225907181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMEEKA WIGGINS Lmft 912-403-2884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 171W00000X Contractor |
| 251S00000X Community/Behavioral Health | |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2025-10-30 |