| NPI | 1407264997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA NICHOLE HEINZLE Owner 706-395-5266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007119) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |