| NPI | 1548101983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIANA NICOLE LOCKETT Owner 346-520-6877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2026-04-01 |
| Last Update Date | 2026-04-01 |