| NPI | 1285291633 |
|---|---|
| Doing Business As | MIRACLE CITY COUNSELING |
| Entity Type | Organization |
| Authorized Contact | KAILEY ROSE MAHAN Counselor, Owner 407-917-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |