| NPI | 1588119028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM D MATHEWS Owner And Therapist 318-791-6975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1581) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 3857) |
| 106H00000X Marriage & Family Therapist (Licence: LA 1133) | |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |