| NPI | 1538828165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASEY SCHARNETT KING Therapist 228-918-0984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2022-01-04 |