| NPI | 1568264182 |
|---|---|
| Doing Business As | DENISE CUMMINGS-FAGAN |
| Entity Type | Organization |
| Authorized Contact | DENISE ANN CUMMINGS-FAGAN Owner 813-768-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-09-11 |