| NPI | 1568330587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD WEST BREEDLOVE Therapist 423-930-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2025-10-29 |