| NPI | 1528853041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERYN COLLIER Owner/Provider 229-630-1798 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |