| NPI | 1386375632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ELIZABETH RAINEY Owner 850-462-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 221700000X Art Therapist | |
| 225A00000X Music Therapist | |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-06-17 |