| NPI | 1558228296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUELLA SHARON LAROCHE Psychotherapist Mental Health Couns 321-402-8599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-01-06 |
| Last Update Date | 2026-01-06 |