| NPI | 1447637012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARIE CHOVAN CEO/Therapist 334-845-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 101YS0200X Counselor School | |
| 251S00000X Community/Behavioral Health (Licence: IL 180.008965) | |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2023-05-23 |