| NPI | 1508745456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA ELIZABETH WILLIAMS Owner 804-955-6546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-09-02 |