| NPI | 1235960758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RANDOLPH Licensed Professional Counselor 228-343-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |