| NPI | 1538828033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH THOMAS STOKES Psychotherapist 407-758-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2021-12-12 |
| Last Update Date | 2023-07-25 |