NPI | 1285242099 |
---|---|
Entity Type | Organization |
Authorized Contact | BETTINA RAE LYONS Owner 478-227-0779 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional | |
Enumeration Date | 2020-07-17 |
Last Update Date | 2025-06-19 |