| NPI | 1407266323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SHEA Owner/Manager/Therapist 901-315-8625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000005676) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2018-04-02 |