| NPI | 1235055443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBY WASHINGTON Authorize Official 336-716-5583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| Enumeration Date | 2026-06-24 |
| Last Update Date | 2026-06-29 |