| NPI | 1457151920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT MYERS Owner 337-692-2860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363L00000X Nurse Practitioner | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-11-25 |