| NPI | 1356236996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAYNA BRENAE THOMPSON Sole Proprietor 912-308-4394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-08-14 |