| NPI | 1467831594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL A TRIPPETT Lmhc 941-914-5168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH12907) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |