NPI | 1265185037 |
---|---|
Entity Type | Organization |
Authorized Contact | DEON LASHAWN SANDERS Owner/Psychotherapist 678-446-5445 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2022-02-01 |
Last Update Date | 2022-02-01 |