| NPI | 1275299828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA TRIMBLE Owner 678-585-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2024-04-26 |