| NPI | 1265383939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTUMN MAXWELL Licensed Professional Counselor 614-512-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-02-06 |
| Last Update Date | 2026-03-18 |