| NPI | 1497129639 |
|---|---|
| Other Name | LORI BEARD, LMHC |
| Entity Type | Organization |
| Authorized Contact | LORI BEARD Owner/President 904-405-9469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11799) |
| Enumeration Date | 2015-11-28 |
| Last Update Date | 2015-11-28 |