| NPI | 1316825110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON MACK Owner 270-449-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |