| NPI | 1295046522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY E THIGPEN Owner 318-254-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0000X Psychologist Family (Licence: LA 476) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: LA 1027) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |