| NPI | 1609683549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA DICKENS Owner 865-661-5889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2025-01-02 |