| NPI | 1235152604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE MARIE THARP-WRIGHT Owner/ Counselor 904-646-0054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6843) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH2969) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH5155) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH5132) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH4616) | |
| 101YM0800X Counselor, Mental Health (Licence: FL SW2527) | |
| 101YM0800X Counselor, Mental Health (Licence: FL SW1447) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-01-28 |