| NPI | 1447014030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALLORY PAIGE CASEVECHIA Owner 865-320-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |