| NPI | 1447876958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRA COONS Owner, Lcsw 813-773-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2021-05-12 |