| NPI | 1538087101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA BEAUFORT Managing Director 386-848-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2026-07-09 |
| Last Update Date | 2026-07-09 |