| NPI | 1497323000 | 
|---|---|
| Former Legal Business Name | STEPHANIE HEADEN, LLC | 
| Entity Type | Organization | 
| Authorized Contact | STEPHANIE JONES HEADEN CEO 404-324-7902 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional | 
| Enumeration Date | 2021-06-11 | 
| Last Update Date | 2021-06-11 |