NPI | 1285387928 |
---|---|
Former Legal Business Name | PEACEFUL CHAOS PLLC |
Entity Type | Organization |
Authorized Contact | SHANEQUIA SEYMORE Licensed Clinical Social Worker 872-243-9945 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-02-02 |
Last Update Date | 2022-05-09 |