| NPI | 1316608045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI WHITESIDE Owner 504-300-7418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC1900X Psychologist Counseling | |
| 1041C0700X Social Worker Clinical | |
| 171400000X | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-05 |