| NPI | 1316882566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LYNN PARKER Founder 314-948-4715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2026-04-23 |
| Last Update Date | 2026-04-23 |