| NPI | 1396462891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAEISHA RODGERS Licensed Professional Counselor 662-871-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |