| NPI | 1548836653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE MARIE HENSLEY Lpc/Owner 681-313-7674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2021-05-29 |
| Last Update Date | 2021-05-29 |