| NPI | 1245273507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN PARKER Licensed Mental Health Counselor 813-517-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-10-31 |