| NPI | 1306595376 |
|---|---|
| Former Legal Business Name | LIVING LIGHT HOLISTIC COUNSELING |
| Doing Business As | MAX-WELL THERAPY |
| Entity Type | Organization |
| Authorized Contact | LILLY NELSON MAXWELL CEO 601-896-5363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-18 |