| NPI | 1518717602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYNNE JOHNSON Owner/Licensed Mental Health Counse 727-201-2163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |