| NPI | 1396515516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA AYANA CANNON Owner/ Counselor 469-986-9629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 104100000X Social Worker | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |