| NPI | 1376278614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA D SMITH Owner 502-444-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |