| NPI | 1528342755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVORY SHAE HOWELL Owner 270-302-1669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KY 1057) |
| 101YP2500X Counselor Professional | |
| 103TC1900X Psychologist Counseling | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2022-05-26 |