| NPI | 1366956831 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SHAKEYIA REAUCHEAN SPANN Owner/Psychotherapist 954-282-9443 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14701) | 
| Enumeration Date | 2017-11-20 | 
| Last Update Date | 2024-11-11 |