| NPI | 1477987394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SUSAN SIKES Office Manager/Therapist 423-802-6943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 2864) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2021-12-06 |