| NPI | 1306684493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH MILLS LEONARD Sole Member 678-353-6778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-15 |