| NPI | 1396538419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERIKAY MITCHELL Licensed Professional Counselor 385-313-0571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-05-22 |