| NPI | 1558827568 |
|---|---|
| Former Legal Business Name | MY THERAPY PLACE, PLLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTIE M MARTIN Outpatient Therapist 919-833-0397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2023-08-11 |