| NPI | 1598611477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTINY WEBRE Licensed Clinical Social Worker 225-394-5143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-03-04 |
| Last Update Date | 2026-03-04 |